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General NPI Number Information
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NPI Number | 1255390431
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Entity Type | Individual
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Provider Name | DAVID K. MILLER D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 116A FOREMAN DR 116-A FOREMAN DR
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City | LAFAYETTE
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State | LA
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Zip | 70506-6208
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Country | US
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Telephone | 337-981-0041
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Fax | 337-981-0042
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Provider Business Mailing Address
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Address Line | 2851 JOHNSTON ST STE 514 2851 JOHNSTON ST SUITE 514
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City | LAFAYETTE
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State | LA
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Zip | 70503-3243
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Country | US
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Telephone | 337-981-0041
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Fax | 337-981-0211
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 522
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License Number State | LA
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