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General NPI Number Information
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NPI Number | 1720696016
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Entity Type | Individual
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Provider Name | STEVEN ROY MILLER MLC , MH, MNLP
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Gender | Male
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 2230 RUCKER AVE # 2D
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City | EVERETT
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State | WA
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Zip | 98201-2772
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Country | US
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Telephone | 425-971-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 RUCKER AVE # 2D
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City | EVERETT
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State | WA
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Zip | 98201-2772
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Country | US
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Telephone | 425-971-7473
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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 | 1744R1103X
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Taxonomy Name | Research Study Abstracter/Coder
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License Number | WA601707603
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License Number State | WA
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