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General NPI Number Information
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NPI Number | 1639490188
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Entity Type | Organization
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Legal Business Name | ASHLEIGH A MILLER, O.D., LLC
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 555 N FEDERAL HWY SUITE 1
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City | BOCA RATON
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State | FL
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Zip | 33432-3998
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Country | US
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Telephone | 561-367-1594
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Fax | 561-367-1595
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Provider Business Mailing Address
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Address Line | 315 BELLE GROVE LN
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-4546
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Country | US
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Telephone | 772-285-8003
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Fax | 561-784-0862
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ASHLEIGH ANN MILLER
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Credential | O.D.
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Telephone | 772-285-8003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 4039
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License Number State | FL
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