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General NPI Number Information
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NPI Number | 1992213979
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Entity Type | Individual
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Provider Name | ALEXANDRA LAUREL MILLER DPT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 4805 E MAIN STREET
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City | BERLIN
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State | OH
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Zip | 44610-4465
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Country | US
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Telephone | 330-231-1442
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 347
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City | BERLIN
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State | OH
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Zip | 44610-0347
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Country | US
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Telephone |
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 013477
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 013477
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License Number State | OH
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