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General NPI Number Information
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NPI Number | 1770876310
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Entity Type | Organization
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Legal Business Name | D&E MILLER ENTERPRISES, INC.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 4662 LARWELL DR.
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City | COLUMBUS
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State | OH
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Zip | 43220-3621
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Country | US
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Telephone | 614-442-6754
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Fax | 614-442-6737
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Provider Business Mailing Address
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Address Line | 4662 LARWELL DR.
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City | COLUMBUS
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State | OH
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Zip | 43220-3621
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Country | US
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Telephone | 614-442-6754
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Fax | 614-442-6737
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Authorized Official
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Title or Position | OWNER
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Name | ELAINE GASTALDO RITTER
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Credential | LMT
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Telephone | 614-442-6754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 33.014014
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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