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Individual
SHAWN W MILLER
Active
Individual
SHAWN W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007819
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018655130005
—
PA
01
—
3225134
AETNA
—
01
—
813696
FIRST PRIORITY
—
Enumeration date
05/23/2006
Last updated
03/06/2013
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