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General NPI Number Information
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NPI Number | 1144885229
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Entity Type | Individual
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Provider Name | AUSTINN MILLER
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Gender | Male
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Dates
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Enumeration Date | 05/05/2019
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 1707 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5317
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Country | US
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Telephone | 850-877-4134
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Fax | 850-942-4112
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Provider Business Mailing Address
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Address Line | PO BOX 13834
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City | TALLAHASSEE
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State | FL
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Zip | 32317-3834
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Country | US
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Telephone | 850-205-6232
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Fax | 855-975-0615
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME171412
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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