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Individual
JENNIFER LEE PALUSO-MILLER
Active
Individual
JENNIFER LEE PALUSO-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015703
IL
225100000X
Physical Therapist
PT013082L
PA
225100000X
Physical Therapist
PT20154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP
IL
01
—
567700
MEDICARE GROUP NUMBER
IN
01
—
568080
MEDICARE GROUP NUMBER
IL
01
—
568150
MEDICARE GROUP NUMBER
IN
Enumeration date
04/27/2007
Last updated
12/02/2008
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