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General NPI Number Information
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NPI Number | 1275217184
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Entity Type | Organization
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Legal Business Name | MILLER EYE CARE PLLC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 128 WILLOW CREEK DRIVE
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City | WEATHERFORD
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State | TX
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Zip | 76085-3652
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Country | US
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Telephone | 817-301-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 434 YOUNGER RANCH RD
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City | AZLE
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State | TX
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Zip | 76020-1187
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Country | US
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Telephone | 817-647-5003
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MATTHEW MILLER
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Credential | OD
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Telephone | 817-301-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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