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General NPI Number Information
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NPI Number | 1306848684
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Entity Type | Individual
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Provider Name | JOEL PAUL MILLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 3998 RED LION ROAD SUITE 207
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1440
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Country | US
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Telephone | 215-824-2859
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Fax | 215-824-3963
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Provider Business Mailing Address
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Address Line | 3998 RED LION ROAD SUITE 207
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1440
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Country | US
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Telephone | 215-824-3913
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Fax | 215-824-3963
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS003385L
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License Number State | PA
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