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General NPI Number Information
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NPI Number | 1518933043
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Entity Type | Individual
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Provider Name | SUSAN HARRINGTON MILLER O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 204 W CHESTNUT ST
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City | BUTLER
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State | MO
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Zip | 64730-1554
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Country | US
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Telephone | 660-679-3261
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Fax | 660-679-6213
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Provider Business Mailing Address
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Address Line | 204 W CHESTNUT ST PO BOX 47
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City | BUTLER
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State | MO
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Zip | 64730-1554
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Country | US
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Telephone | 660-679-3261
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Fax | 660-679-6213
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T03247
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License Number State | MO
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