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General NPI Number Information
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NPI Number | 1639696560
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Entity Type | Individual
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Provider Name | NICHOLAS JOSHUA MILLER
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Gender | Male
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 16528 E DESMET CT STE C1301
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-3522
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Country | US
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Telephone | 509-926-6400
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Fax | 509-926-6574
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Provider Business Mailing Address
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Address Line | 16528 E DESMET CT STE C1301
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-3522
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Country | US
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Telephone | 509-926-6400
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Fax | 509-926-6574
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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 | PH60757039
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License Number State | WA
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