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General NPI Number Information
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NPI Number | 1164556387
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Entity Type | Organization
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Legal Business Name | PHILIP MILLER MD PA
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 3385 BURNS RD SUITE 103
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4328
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Country | US
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Telephone | 561-691-3993
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Fax | 561-691-3908
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Provider Business Mailing Address
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Address Line | 3385 BURNS RD SUITE 103
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4328
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Country | US
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Telephone | 561-691-3993
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Fax | 561-691-3908
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP MILLER
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Credential | MD
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Telephone | 561-691-3993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ME34424
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License Number State | FL
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