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NPI 1043263858

NPI 1043263858 : CRAIG E. MILLER DDS : HAYS, KS

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General NPI Number Information
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    NPI Number           |    1043263858
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    Entity Type          |    Individual 
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    Provider Name        |    CRAIG E. MILLER DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    2901 CANTERBURY DR 
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    City                 |    HAYS
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    State                |    KS
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    Zip                  |    67601-2152
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    Country              |    US
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    Telephone            |    785-628-1079
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    Fax                  |    785-628-1090
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Provider Business Mailing Address
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    Address Line         |    2901 CANTERBURY DR 
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    City                 |    HAYS
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    State                |    KS
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    Zip                  |    67601-2152
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    Country              |    US
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    Telephone            |    785-628-1079
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    Fax                  |    785-628-1090
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    5902
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    License Number State |    KS
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