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General NPI Number Information
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NPI Number | 1528058906
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Entity Type | Individual
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Provider Name | PHYLLIS E MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 1751 GUNBARREL RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7177
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Country | US
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Telephone | 423-697-1857
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Fax | 423-697-7564
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Provider Business Mailing Address
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Address Line | 4843 HIXSON PIKE
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City | HIXSON
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State | TN
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Zip | 37343-4478
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Country | US
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Telephone | 423-870-3700
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Fax | 423-877-3289
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD0000007890
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License Number State | TN
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