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General NPI Number Information
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NPI Number | 1588692511
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Entity Type | Individual
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Provider Name | LORI MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 7450 E 52ND AVE UINT H
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City | ARVADA
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State | CO
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Zip | 80002
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Country | US
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Telephone | 800-819-8566
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Fax | 303-463-5951
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Provider Business Mailing Address
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Address Line | 1650 PARK LANE DR
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City | BOULDER
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State | CO
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Zip | 80301
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Country | US
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Telephone | 303-673-0296
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34542
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | CO34542
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | CO34542
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License Number State | CO
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