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General NPI Number Information
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NPI Number | 1568882660
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Entity Type | Individual
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Provider Name | BRET DELANE MILLER
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Gender | Male
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 2995 MCMILLAN AVE STE 196
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6769
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Country | US
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Telephone | 805-546-0208
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Fax | 805-546-0964
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Provider Business Mailing Address
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Address Line | 506 E. PLAZA DR. SUITE 6 MARIAN INFUSION SERVICES
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City | SANTA MARIA
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State | CA
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Zip | 93454
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Country | US
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Telephone | 805-739-3810
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Fax | 805-739-3851
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 38984
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License Number State | CA
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