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NPI 1831250109

NPI 1831250109 : JOHN STEPHEN MILLER DC : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1831250109
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN STEPHEN MILLER DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    04/08/2008
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Provider Practice Location Address
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    Address Line         |    9015 HOLMAN RD NW STE 3 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98117-3481
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    Country              |    US
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    Telephone            |    206-784-8119
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    Fax                  |    206-784-4020
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Provider Business Mailing Address
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    Address Line         |    9015 HOLMAN RD NW STE 3 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98117-3481
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    Country              |    US
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    Telephone            |    206-784-8119
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    Fax                  |    206-784-4020
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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        |    111NR0200X
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    Taxonomy Name        |    Radiology Chiropractor
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    License Number       |    CH00002256
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    License Number State |    WA
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