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General NPI Number Information
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NPI Number | 1386737799
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Entity Type | Individual
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Provider Name | ROBERT M MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 2900 MEDICAL CENTER PKWY STE 240
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City | BENTONVILLE
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State | AR
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Zip | 72712-3213
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Country | US
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Telephone | 479-273-9173
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Fax | 479-464-9989
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Provider Business Mailing Address
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Address Line | 2608 CARRINGTON POINTE RD
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City | FORT SMITH
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State | AR
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Zip | 72903-5261
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Country | US
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Telephone | 479-484-0858
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | R4322
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License Number State | AR
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