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General NPI Number Information
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NPI Number | 1841124369
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Entity Type | Individual
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Provider Name | COLE MILLER
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Gender | Male
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 2785 MILWAUKEE RD
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City | BELOIT
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State | WI
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Zip | 53511-6915
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Country | US
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Telephone | 608-362-0057
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Fax |
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Provider Business Mailing Address
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Address Line | 10155 CLEARWING LN UNIT 1
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City | ROSCOE
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State | IL
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Zip | 61073-1200
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23346-40
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License Number State | WI
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