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General NPI Number Information
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NPI Number | 1043368715
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Entity Type | Organization
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Legal Business Name | ROBERT L MILLER MD PA
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 620 N MAIN ST
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City | HARRISON
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State | AR
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Zip | 72601-2994
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Country | US
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Telephone | 870-414-4026
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1812
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City | HARRISON
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State | AR
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Zip | 72602-1812
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Country | US
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Telephone | 870-414-4026
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT L MILLER JR.
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Credential | MD
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Telephone | 870-414-4026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MC-1562
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License Number State | AR
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