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NPI 1417921651

NPI 1417921651 : CAELA MILLER M.D. : JBSA FT SAM HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1417921651
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    Entity Type          |    Individual 
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    Provider Name        |    CAELA MILLER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2006
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    3551 ROGER BROOKE DR 
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    City                 |    JBSA FT SAM HOUSTON
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    State                |    TX
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    Zip                  |    78234-4504
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    Country              |    US
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    Telephone            |    210-916-5337
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    Fax                  |    210-916-1021
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Provider Business Mailing Address
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    Address Line         |    3551 ROGER BROOKE DR 
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    City                 |    JBSA FT SAM HOUSTON
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    State                |    TX
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    Zip                  |    78234-4504
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    Country              |    US
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    Telephone            |    210-916-5337
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    Fax                  |    210-916-1021
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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        |    207VX0201X
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    Taxonomy Name        |    Gynecologic Oncology Physician
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    License Number       |    0101240295
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    207VX0201X
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    Taxonomy Name        |    Gynecologic Oncology Physician
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    License Number       |    W0007
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    License Number State |    TX
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