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General NPI Number Information
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NPI Number | 1295990414
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Entity Type | Individual
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Provider Name | STEPHEN E MILLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2312 S DIXON RD STE 240
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City | KOKOMO
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State | IN
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Zip | 46902-6401
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Country | US
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Telephone | 765-455-4075
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Fax | 765-455-4094
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Provider Business Mailing Address
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Address Line | 679 E COUNTY LINE RD
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City | GREENWOOD
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State | IN
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Zip | 46143-1049
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Country | US
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Telephone | 317-890-2000
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Fax | 765-455-4094
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 02004235
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License Number State | IN
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