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General NPI Number Information
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NPI Number | 1235315821
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Entity Type | Organization
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Legal Business Name | DAVID B MILLER PSYD PA
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 7301A W PALMETTO PARK RD SUITE 20613
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City | BOCO RATON
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State | FL
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Zip | 33433-3466
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Country | US
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Telephone | 561-362-3739
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Fax | 561-362-5595
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Provider Business Mailing Address
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Address Line | 7301A W PALMETTO PACK RD SUITE 20613
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City | BOCO RATON
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State | FL
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Zip | 33433-3466
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Country | US
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Telephone | 561-362-3739
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Fax | 561-362-5595
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Authorized Official
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Title or Position | PRES PSYCHOLOGIST
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Name | DAVID B MILLER
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Credential | PSY D PA
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Telephone | 561-362-3739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PX6648
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License Number State | FL
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