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General NPI Number Information
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NPI Number | 1881644136
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Entity Type | Individual
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Provider Name | SANDRA MILLER
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 2200 MEMORIAL DR
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City | FARRELL
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State | PA
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Zip | 16121-1357
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Country | US
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Telephone | 724-983-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 OLD HICKORY CT
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City | HERMITAGE
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State | PA
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Zip | 16148-7328
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Country | US
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Telephone | 724-342-3234
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN292288L
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License Number State | PA
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