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General NPI Number Information
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NPI Number | 1891049375
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Entity Type | Individual
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Provider Name | MELISSA DYANN MILLER AA-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 304 TURNER MCCALL BLVD SW
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City | ROME
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State | GA
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Zip | 30165-5621
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Country | US
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Telephone | 770-702-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 507 BEACON SOUND WAY
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City | APOLLO BEACH
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State | FL
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Zip | 33572-3372
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Country | US
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Telephone | 423-580-4787
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA147
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License Number State | FL
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