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General NPI Number Information
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NPI Number | 1033326905
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Entity Type | Organization
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Legal Business Name | ARCHIBALD S MILLER MD PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 6585 S YALE AVE SUITE 315
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City | TULSA
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State | OK
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Zip | 74136-8316
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Country | US
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Telephone | 918-492-2282
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Fax | 918-491-9188
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Provider Business Mailing Address
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Address Line | 6585 S YALE AVE SUITE 315
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City | TULSA
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State | OK
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Zip | 74136-8316
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Country | US
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Telephone | 918-492-2282
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Fax | 918-491-9188
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARCHIBALD S MILLER III
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Credential | MD
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Telephone | 918-492-2282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 15356
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License Number State | OK
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