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General NPI Number Information
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NPI Number | 1548426109
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Entity Type | Individual
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Provider Name | MICHELLE ANNETTE MILLER PT
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Gender | Female
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1910 MEDI PARK DR
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City | AMARILLO
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State | TX
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Zip | 79106-2187
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Country | US
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Telephone | 806-457-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 S SONCY RD STE 137
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City | AMARILLO
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State | TX
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Zip | 79119-6406
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Country | US
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Telephone | 806-331-6084
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1121747
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License Number State | TX
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