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General NPI Number Information
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NPI Number | 1407810575
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Entity Type | Individual
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Provider Name | JOHN CARLYLE MILLER DPM
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1266 ESCALANTE DR STE 201
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City | DURANGO
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State | CO
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Zip | 81303-8934
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Country | US
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Telephone | 970-259-5303
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Fax | 970-259-3510
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Provider Business Mailing Address
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Address Line | 1266 ESCALANTE DR STE 201
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City | DURANGO
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State | CO
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Zip | 81303-8934
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Country | US
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Telephone | 970-259-5303
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Fax | 970-259-3510
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 467
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 48
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0000909
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License Number State | CO
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