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General NPI Number Information
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NPI Number | 1093755829
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Entity Type | Organization
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Legal Business Name | JOEL P MILLER DO PC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 3998 RED LION RD SUITE 209
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-824-2859
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Fax | 215-824-3963
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Provider Business Mailing Address
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Address Line | 3998 RED LION RD SUITE 209
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-824-2859
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Fax | 215-824-3963
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JODY L ORR
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Credential |
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Telephone | 215-824-3913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS003385L
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License Number State | PA
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