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General NPI Number Information
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NPI Number | 1922911486
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Entity Type | Individual
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Provider Name | AVI BIKO MILLER
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Gender | Male
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 1818 BRIARWOOD INDUSTRIAL CT NE
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City | BROOKHAVEN
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State | GA
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Zip | 30329-1608
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Country | US
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Telephone | 770-693-8480
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 NW ELMWOOD DR
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City | CORVALLIS
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State | OR
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Zip | 97330-1103
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Country | US
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Telephone | 541-231-1092
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | E042750
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License Number State | GA
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