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Individual
AMY MILLER
Active
Individual
AMY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP08866
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP08866
MEDICAL LICENSE
LA
Enumeration date
07/07/2016
Last updated
07/11/2016
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