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General NPI Number Information
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NPI Number | 1073653663
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Entity Type | Individual
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Provider Name | JAMES JASON MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 300 SHELBY STATION DR
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City | LOUISVILLE
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State | KY
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Zip | 40245-4186
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Country | US
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Telephone | 502-254-0009
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Fax | 502-753-6460
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Provider Business Mailing Address
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Address Line | 300 SHELBY STATION DR
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City | LOUISVILLE
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State | KY
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Zip | 40245-4186
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Country | US
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Telephone | 502-254-0009
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Fax | 502-753-6460
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 40667
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 01059429A
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License Number State | IN
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