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General NPI Number Information
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NPI Number | 1285680827
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Entity Type | Organization
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Legal Business Name | DAVID R. MILLER, LTD.
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 310 BANBURY RD
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City | NORTH AURORA
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State | IL
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Zip | 60542-1260
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Country | US
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Telephone | 630-892-7627
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 W MADISON ST
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City | CHICAGO
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State | IL
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Zip | 60644-4040
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Country | US
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Telephone | 773-261-1200
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Fax | 773-261-1212
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID R MILLER
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Credential | M.D.
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Telephone | 773-261-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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