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NPI Code Detail

MEDICARE: DEEDRA MILLER

MEDICARE: DEEDRA MILLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1053175588
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEEDRA MILLER
Provider Business Mailing Address
First Line : 2211 MILES RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2013
Country : US
Telephone Number : 513-765-9133
Fax Number :
Provider Business Practice Location Address
First Line : 2211 MILES RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2013
Country : US
Telephone Number : 513-765-9133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 02/06/2024

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Directions to “ DEEDRA MILLER ” Practice Location

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