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General NPI Number Information
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NPI Number | 1164432217
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Entity Type | Individual
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Provider Name | LEON MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 1261 WOOSTER RD SUITE 215
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City | MILLERSBURG
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State | OH
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Zip | 44654-1570
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Country | US
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Telephone | 330-674-7777
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Fax | 330-674-2084
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Provider Business Mailing Address
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Address Line | 1261 WOOSTER RD SUITE 215
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City | MILLERSBURG
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State | OH
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Zip | 44654-1570
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Country | US
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Telephone | 330-674-7777
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Fax | 330-674-2084
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35057776
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 16955
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License Number State | AZ
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