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General NPI Number Information
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NPI Number | 1013238286
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Entity Type | Organization
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Legal Business Name | DOUGLAS C MILLER D C P A
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 3739 WILKENS AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-5035
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Country | US
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Telephone | 410-646-2222
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Fax | 410-646-2502
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Provider Business Mailing Address
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Address Line | 3739 WILKENS AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-5035
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Country | US
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Telephone | 410-646-2222
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Fax | 410-646-2502
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | AMY M TRINITE
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Credential |
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Telephone | 410-646-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01571
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License Number State | MD
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