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General NPI Number Information
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NPI Number | 1609374602
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Entity Type | Individual
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Provider Name | TAYLOR S MILLER
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Gender | Female
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 322 HWY 80 EAST STE 3
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City | CLINTON
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State | MS
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Zip | 39056-4726
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Country | US
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Telephone | 601-460-0910
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Fax |
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Provider Business Mailing Address
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Address Line | DANA BLAIR - PERFORMANCE THERAPY PO BOX 890
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City | MADISON
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State | MS
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Zip | 39130-0890
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Country | US
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Telephone | 601-278-7526
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Fax | 601-898-3699
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | S4322
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | S4322
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License Number State | MS
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