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General NPI Number Information
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NPI Number | 1275967218
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Entity Type | Organization
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Legal Business Name | MILLER AUDIOLOGY AND HEARING AID DISPENSING PLLC
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 5445 LA SIERRA DR STE 230
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City | DALLAS
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State | TX
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Zip | 75231-4185
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Country | US
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Telephone | 214-696-9955
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Fax | 214-696-9956
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Provider Business Mailing Address
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Address Line | 5445 LA SIERRA DR STE 230
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City | DALLAS
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State | TX
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Zip | 75231-4185
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Country | US
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Telephone | 214-696-9955
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Fax | 214-696-9956
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | DR. STEPHEN EDWARD MILLER
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Credential | AU.D.
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Telephone | 214-696-9955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 50305
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License Number State | TX
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