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General NPI Number Information
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NPI Number | 1346285137
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Entity Type | Organization
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Legal Business Name | MILLER ALLERGY, INC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7287 SAWMILL RD SUITE 100
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City | DUBLIN
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State | OH
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Zip | 43016-9021
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Country | US
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Telephone | 614-760-0099
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Fax | 614-734-0409
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Provider Business Mailing Address
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Address Line | 7287 SAWMILL RD SUITE 100
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City | DUBLIN
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State | OH
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Zip | 43016-9021
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Country | US
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Telephone | 614-760-0099
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Fax | 614-734-0409
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SURI R SURESH
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Credential | M.D.
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Telephone | 614-760-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 35051349S
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License Number State | OH
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