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General NPI Number Information
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NPI Number | 1447694922
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Entity Type | Individual
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Provider Name | DANIEL H. MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 3100 CHANNING WAY
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7533
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Country | US
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Telephone | 208-227-2700
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Fax | 208-227-2735
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Provider Business Mailing Address
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Address Line | 5150 S 375 E STE 3
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City | WASHINGTON TERRACE
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State | UT
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Zip | 84405-4503
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Country | US
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Telephone | 801-475-6532
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Fax | 801-475-6182
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 11797A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | M-14311
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License Number State | ID
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