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NPI 1922785062

NPI 1922785062 : LINDSEY MILLER : SPARTA, NJ

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General NPI Number Information
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    NPI Number           |    1922785062
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY MILLER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2023
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    Last Update Date     |    12/03/2024
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Provider Practice Location Address
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    Address Line         |    540 LAFAYETTE RD # 100 
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    City                 |    SPARTA
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    State                |    NJ
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    Zip                  |    07871-3497
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    Country              |    US
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    Telephone            |    973-726-7400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1200 CORPORATE DR STE 400 
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    City                 |    HOOVER
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    State                |    AL
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    Zip                  |    35242-5424
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    Country              |    US
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    Telephone            |    423-497-0005
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP030203T
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    11888
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    License Number State |    SC
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP030583T
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    License Number State |    VA
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP037299T
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    License Number State |    NJ
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Taxonomy #5
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PTH11722
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    License Number State |    AL
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