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NPI 1801604681

NPI 1801604681 : MATTHEW MILLER NRP : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1801604681
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW MILLER NRP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/24/2024
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    Last Update Date     |    12/24/2024
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Provider Practice Location Address
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    Address Line         |    899 N CAPITOL ST NE STE 3100 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20002-5686
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    Country              |    US
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    Telephone            |    202-673-3320
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    899 N CAPITOL ST NE STE 3100 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20002-5686
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    Country              |    US
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    Telephone            |    
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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        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    P-19023
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    License Number State |    DC
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