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General NPI Number Information
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NPI Number | 1801899372
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Entity Type | Individual
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Provider Name | KIM C MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 1661 INTERNATIONAL DR SUITE 350
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City | MEMPHIS
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State | TN
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Zip | 38120-1430
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Country | US
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Telephone | 901-685-2696
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Fax |
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Provider Business Mailing Address
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Address Line | 8010 STAGE HILLS BLVD
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City | BARTLETT
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State | TN
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Zip | 38133-4032
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Country | US
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Telephone | 901-291-2400
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 28389
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License Number State | TN
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