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General NPI Number Information
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NPI Number | 1093765828
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Entity Type | Individual
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Provider Name | HANS BADA MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 204 ALLEN MEMORIAL DR STE 302A
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City | BREMEN
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State | GA
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Zip | 30110-2047
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Country | US
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Telephone | 770-812-5720
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Fax | 770-836-9663
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Provider Business Mailing Address
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Address Line | 706 DIXIE ST STE 220
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City | CARROLLTON
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State | GA
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Zip | 30117-3889
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Country | US
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Telephone | 770-838-8710
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Fax | 770-812-5735
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 57894
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57894
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35083231
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License Number State | OH
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