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General NPI Number Information
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NPI Number | 1063437812
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Entity Type | Individual
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Provider Name | DANIEL CHARLES MILLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 12871 UNIVERSITY AVE SUITE 130
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City | CLIVE
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State | IA
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Zip | 50325-8255
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Country | US
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Telephone | 515-222-4419
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Fax | 515-222-6965
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Provider Business Mailing Address
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Address Line | 1501 50TH ST STE 110
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5940
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Country | US
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Telephone | 515-421-3679
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Fax | 888-503-7693
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02745
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License Number State | IA
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