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General NPI Number Information
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NPI Number | 1669559795
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Entity Type | Individual
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Provider Name | CHRISTINA LYNDELL MILLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1500 N JAMES ST
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City | ROME
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State | NY
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Zip | 13440-2844
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Country | US
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Telephone | 828-687-6282
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Fax | 828-687-6285
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Provider Business Mailing Address
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Address Line | 307 S EVERGREEN AVE
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City | WOODBURY
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State | NJ
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Zip | 08096-2739
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Country | US
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Telephone | 609-364-7157
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Fax | 865-692-5900
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1460
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 020563
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License Number State | NY
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