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General NPI Number Information
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NPI Number | 1780925834
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Entity Type | Organization
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Legal Business Name | MILLER PROSTHETICS & ORTHOTICS
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 2311 OHIO AVE STE B
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City | PARKERSBURG
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State | WV
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Zip | 26101-2559
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Country | US
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Telephone | 304-699-2373
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Fax | 888-972-5171
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Provider Business Mailing Address
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Address Line | 2354 RICHMILLER LN
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City | BELPRE
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State | OH
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Zip | 45714-1052
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Country | US
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Telephone | 740-421-4211
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Fax | 888-972-5171
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Authorized Official
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Title or Position | PROSTHETIST, ORHTOTIST, OWNER
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Name | MARK R. MILLER
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Credential | CPO, LPO
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Telephone | 304-699-2373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | LPO 074
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License Number State | OH
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