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General NPI Number Information
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NPI Number | 1700491255
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Entity Type | Individual
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Provider Name | TAYLOR C MILLER
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Gender | Female
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1332 WOODMAN DR
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City | DAYTON
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State | OH
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Zip | 45432-3439
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Country | US
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Telephone | 513-740-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 SOLITAIRE LN APT 2
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City | BEAVERCREEK
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State | OH
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Zip | 45431-3722
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Country | US
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Telephone | 614-657-5230
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2107009
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License Number State | OH
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