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General NPI Number Information
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NPI Number | 1386596039
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Entity Type | Individual
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Provider Name | JARED MILLER
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Gender | Male
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 8400 113TH ST
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City | SEMINOLE
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State | FL
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Zip | 33772-4131
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Country | US
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Telephone | 727-201-4549
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Fax |
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Provider Business Mailing Address
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Address Line | 16707 HUTCHISON RD
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City | ODESSA
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State | FL
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Zip | 33556-2304
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Country | US
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Telephone | 813-240-8710
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15796
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License Number State | FL
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