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General NPI Number Information
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NPI Number | 1336868561
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Entity Type | Organization
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Legal Business Name | DR MICHAEL J. MILLER, D.D.S.
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 86 E MAIN ST STE A
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City | BUCKHANNON
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State | WV
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Zip | 26201-2733
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Country | US
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Telephone | 304-472-8598
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Fax | 304-472-0651
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Provider Business Mailing Address
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Address Line | 86 E MAIN ST STE A
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City | BUCKHANNON
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State | WV
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Zip | 26201-2733
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Country | US
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Telephone | 304-472-8598
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Fax | 304-472-0651
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MEGHAN N MCCAULEY
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Credential |
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Telephone | 304-698-7271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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