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General NPI Number Information
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NPI Number | 1912501297
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Entity Type | Individual
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Provider Name | GREGORY RICHARD MILLER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/26/2020
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 1760 QUENTIN RD
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City | LEBANON
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State | PA
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Zip | 17042-7434
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Country | US
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Telephone | 717-273-7824
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Fax |
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Provider Business Mailing Address
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Address Line | 833 BOWMAN ST
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City | LEBANON
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State | PA
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Zip | 17046-8432
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Country | US
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Telephone | 717-274-1463
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Fax | 717-228-0508
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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 | RP453066
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License Number State | PA
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