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General NPI Number Information
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NPI Number | 1912938820
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Entity Type | Individual
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Provider Name | GREGORY BRETT MILLAR DC
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 2021 CLINTON AVE W STE A
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City | HUNTSVILLE
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State | AL
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Zip | 35805-7111
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Country | US
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Telephone | 256-539-2000
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 21157
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City | HUNTSVILLE
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State | AL
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Zip | 35813-5157
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Country | US
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Telephone | 256-519-3550
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Fax | 256-519-3549
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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 | 1857
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License Number State | AL
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