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General NPI Number Information
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NPI Number | 1902182454
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Entity Type | Individual
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Provider Name | RICHARD DEAN MILLER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/28/2011
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 2700 NORTHEAST EXPY NE STE B800
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City | ATLANTA
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State | GA
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Zip | 30345-1828
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Country | US
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Telephone | 855-443-9944
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Fax | 855-322-2087
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Provider Business Mailing Address
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Address Line | 1900 JACOLYN PL NE
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City | ATLANTA
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State | GA
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Zip | 30329-3316
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Country | US
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Telephone | 770-235-5617
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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 | RPH026178
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License Number State | GA
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