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General NPI Number Information
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NPI Number | 1588123780
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Entity Type | Individual
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Provider Name | EMMA ROSE MILLER-BEDELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 725 WELCH RD
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City | PALO ALTO
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State | CA
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Zip | 94304-1601
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Country | US
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Telephone | 650-497-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WILLETT ST APT 3
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City | ALBANY
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State | NY
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Zip | 12210-1184
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Country | US
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Telephone | 845-729-5405
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A179774
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License Number State | CA
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