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NPI Code Detail

MEDICARE: JULIA RENEE MILLER SLP

MEDICARE: JULIA RENEE MILLER SLP
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
1235Z00000XSpeech-Language Pathologist200029AL

General Provider Information

NPI Number : 1265037055
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA RENEE MILLER SLP
Provider Business Mailing Address
First Line : 505 E LAFAYETTE ST
Second Line :
City : MARION
State : AL
Zip : 36756-2323
Country : US
Telephone Number : 334-683-9696
Fax Number : 334-683-9995
Provider Business Practice Location Address
First Line : 505 E LAFAYETTE ST
Second Line :
City : MARION
State : AL
Zip : 36756-2323
Country : US
Telephone Number : 334-683-9696
Fax Number : 334-683-9995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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Directions to “ JULIA RENEE MILLER SLP” Practice Location

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