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General NPI Number Information
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NPI Number | 1912612599
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Entity Type | Individual
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Provider Name | KRISTIN L MILLER DC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 5359 MOUNES ST STE E
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City | HARAHAN
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State | LA
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Zip | 70123-3380
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Country | US
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Telephone | 504-688-3835
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Fax | 504-766-6973
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Provider Business Mailing Address
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Address Line | N343 SWIFT RD
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City | WATERTOWN
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State | WI
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Zip | 53098-4820
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Country | US
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Telephone | 920-342-8593
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1975
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License Number State | LA
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