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General NPI Number Information
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NPI Number | 1184678336
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Entity Type | Individual
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Provider Name | RANDALL S MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 2370 W HORIZON RIDGE PKWY SUITE 100
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City | HENDERSON
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State | NV
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Zip | 89052-5077
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Country | US
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Telephone | 702-897-3800
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Fax | 702-897-3801
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Provider Business Mailing Address
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Address Line | 2838 BELLINI DR
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City | HENDERSON
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State | NV
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Zip | 89052-3119
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Country | US
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Telephone | 702-813-4974
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 9270
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9270
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9720
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License Number State | NV
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