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General NPI Number Information
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NPI Number | 1851352074
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Entity Type | Individual
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Provider Name | BARRY WILLIAM MILLER CRNP
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 10 CENTER DR ROOM 6N106
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-435-4627
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Fax |
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Provider Business Mailing Address
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Address Line | 10903 NEW HAMPSHIRE AVE WO 22-2114
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City | SILVER SPRING
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State | MD
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Zip | 20903-1058
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Country | US
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Telephone | 240-402-3195
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP007774
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R176141
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License Number State | MD
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