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General NPI Number Information
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NPI Number | 1710302153
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Entity Type | Individual
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Provider Name | ELIZABETH ESTELLE CORWELL MILLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 1900 JACOLYN PL NE
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City | ATLANTA
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State | GA
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Zip | 30329-3316
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Country | US
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Telephone | 404-634-6584
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5085
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Country | US
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Telephone | 404-634-6584
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH-025990
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License Number State | GA
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