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General NPI Number Information
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NPI Number | 1326953167
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Entity Type | Individual
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Provider Name | JUSTIN MILLER FP-C
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Gender | Male
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 1050 FORRER BLVD
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City | KETTERING
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State | OH
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Zip | 45420-3640
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Country | US
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Telephone | 937-762-5927
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Fax |
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Provider Business Mailing Address
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Address Line | 3008 PATSIE DR
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City | BEAVERCREEK
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State | OH
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Zip | 45434-6147
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Country | US
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Telephone | 937-790-0566
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Fax |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 0104305
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License Number State | OH
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