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General NPI Number Information
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NPI Number | 1447560255
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Entity Type | Organization
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Legal Business Name | HOWARD C. MILLER, D.P.M., INC.
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 1210 E NORTH ST
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City | MANTECA
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State | CA
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Zip | 95336-4962
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Country | US
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Telephone | 209-823-9378
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 E NORTH ST
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City | MANTECA
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State | CA
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Zip | 95336-4962
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Country | US
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Telephone | 209-823-9378
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. HOWARD C. MILLER
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Credential | D.P.M.
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Telephone | 209-823-9378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E1846
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License Number State | CA
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