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1114122595 NPI number — RICHARD WILLIAM MILLER M.D.

NPI Number: 1114122595
Health Care Provider/Practitioner: RICHARD WILLIAM MILLER M.D.

Information about “1114122595” NPI (RICHARD WILLIAM MILLER M.D.) exists in 1114122595 in HTML format HTML  |  1114122595 in plain Text format TXT  |  1114122595 in PDF (Portable Document Format) PDF  |  1114122595 in an XML format XML  formats.

NPI Number : 1114122595 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114122595",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "RICHARD",
    "MiddleName": "WILLIAM",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "42 LADD ST STE 311",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST GREENWICH",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02818-4358",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-358-7864",
    "MailingAddressFaxNumber": "401-214-0091",
    "FirstLinePracticeLocationAddress": "45 SOCKANOSSET CROSS RD STE 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CRANSTON",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02920-5529",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-358-7864",
    "PracticeLocationAddressFaxNumber": "401-214-0091",
    "EnumerationDate": "06/18/2007",
    "LastUpdateDate": "05/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "4301506255",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "56760",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "128617",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "MD13763",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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