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General NPI Number Information
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NPI Number | 1528563756
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Entity Type | Individual
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Provider Name | ADRIANNE T MILLER LMT
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 5656 ISABELLE AVE STE 6
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City | PORT ORANGE
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State | FL
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Zip | 32127-6255
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Country | US
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Telephone | 386-487-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 MILLBROOK AVE
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City | PORT ORANGE
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State | FL
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Zip | 32127-6013
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Country | US
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Telephone | 314-620-3831
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Fax |
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | MA76115
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA76115
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License Number State | FL
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