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General NPI Number Information
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NPI Number | 1831166065
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Entity Type | Individual
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Provider Name | JEANNA ANNETTE MILLER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3701 MARKET ST SUITE 640- ANTICOAGULATION CENTER
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5502
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Country | US
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Telephone | 215-349-8199
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Fax |
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Provider Business Mailing Address
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Address Line | 303 VINE ST APT 508
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City | PHILADELPHIA
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State | PA
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Zip | 19106-1142
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Country | US
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Telephone | 215-349-8199
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Fax | 215-662-7333
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP439633
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17541
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH022302
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License Number State | GA
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