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General NPI Number Information
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NPI Number | 1831117589
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Entity Type | Individual
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Provider Name | SUSAN K MILLER M.D
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 2049 E 100TH ST DESK A10
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City | CLEVELAND
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State | OH
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Zip | 44195-2203
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Country | US
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Telephone | 216-444-6987
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE DESK A10
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City | CLEVELAND
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State | OH
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Zip | 44195-3420
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Country | US
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Telephone | 216-444-6987
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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 | 35059540
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 35059540
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License Number State | OH
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