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General NPI Number Information
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NPI Number | 1578085783
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Entity Type | Individual
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Provider Name | TREY WYATE MILLER DDS
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Gender | Male
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 4291 SCHOOL HOUSE COMMONS
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City | HARRISBURG
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State | NC
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Zip | 28075
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Country | US
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Telephone | 704-456-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 4291 SCHOOL HOUSE CMNS
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City | HARRISBURG
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State | NC
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Zip | 28075-7503
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Country | US
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Telephone | 704-456-9611
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Fax | 704-662-3213
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10783
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License Number State | NC
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