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General NPI Number Information
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NPI Number | 1619580024
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Entity Type | Individual
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Provider Name | WILLIAM L MILLER JR. PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 1213 W 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60620-3706
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Country | US
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Telephone | 773-651-2118
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Fax |
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Provider Business Mailing Address
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Address Line | 8450 S JEFFERY BLVD
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City | CHICAGO
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State | IL
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Zip | 60617-2264
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.300947
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License Number State | IL
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