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General NPI Number Information
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NPI Number | 1629796420
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Entity Type | Individual
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Provider Name | TAYLOR MILLER
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Gender | Female
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 1001 E 26TH AVE UNIT B
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City | DENVER
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State | CO
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Zip | 80205-5252
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Country | US
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Telephone | 720-670-9716
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 YUKON ST APT 134
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City | LAKEWOOD
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State | CO
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Zip | 80214-4178
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Country | US
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Telephone | 720-670-9716
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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