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General NPI Number Information
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NPI Number | 1093936692
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Entity Type | Individual
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Provider Name | JOE MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 78-6831 ALII DR STE 328
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City | KAILUA KONA
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State | HI
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Zip | 96740-4408
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Country | US
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Telephone | 808-909-3158
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Fax |
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Provider Business Mailing Address
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Address Line | 78-6831 ALII DR STE 328
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City | KAILUA KONA
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State | HI
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Zip | 96740-4408
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Country | US
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Telephone | 808-909-3139
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Fax |
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 0101242356
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | M-2402
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 125-050838
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License Number State | IL
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