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General NPI Number Information
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NPI Number | 1689202392
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Entity Type | Individual
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Provider Name | ALEXANDRA SMITH MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2020
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 3535 MARKET ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3317
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Country | US
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Telephone | 215-746-7212
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Fax |
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Provider Business Mailing Address
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Address Line | 162 FERNBROOK AVE
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City | WYNCOTE
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State | PA
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Zip | 19095-1507
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Country | US
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Telephone | 617-519-9995
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MT220906
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License Number State | PA
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