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General NPI Number Information
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NPI Number | 1154774461
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Entity Type | Organization
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Legal Business Name | DAVID A MILLER MD P LLC
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 421 E JACKSON ST
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City | THOMASVILLE
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State | GA
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Zip | 31792-4694
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Country | US
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Telephone | 229-226-8850
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Fax | 229-226-8897
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Provider Business Mailing Address
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Address Line | 421 E JACKSON ST
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City | THOMASVILLE
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State | GA
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Zip | 31792-4694
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Country | US
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Telephone | 229-226-8850
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Fax | 229-226-8897
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A MILLER
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Credential | MD
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Telephone | 229-226-8850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME119141
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License Number State | FL
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