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General NPI Number Information
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NPI Number | 1376859579
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE WOMEN'S HEALTHCARE OF CITRUS COUNTY, PLC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 11521 W EMERALD OAKS DR
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-2815
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Country | US
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Telephone | 352-794-6060
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Fax | 352-794-6061
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Provider Business Mailing Address
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Address Line | 11521 W EMERALD OAKS DR
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-2815
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Country | US
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Telephone | 352-794-6060
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Fax | 352-794-6061
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH M MILLER
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Credential | DO
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Telephone | 352-794-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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