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General NPI Number Information
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NPI Number | 1679991970
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Entity Type | Individual
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Provider Name | NICHOLE MILLER
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Gender | Female
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 5700 MONROE ST UNIT 308
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City | SYLVANIA
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State | OH
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Zip | 43560-2768
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Country | US
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Telephone | 419-291-7555
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Fax | 419-479-2696
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Provider Business Mailing Address
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Address Line | 100 MADISON AVE
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City | TOLEDO
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State | OH
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Zip | 43604-1516
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35.139619
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35.139619
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License Number State | OH
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