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General NPI Number Information
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NPI Number | 1487893483
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Entity Type | Individual
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Provider Name | DENNIS KEITH MILLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 869 W LACEY BLVD SUITE 105 C5
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City | HANFORD
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State | CA
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Zip | 93230-9323
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Country | US
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Telephone | 559-582-2929
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Fax | 559-582-7705
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Provider Business Mailing Address
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Address Line | 869 W LACEY BLVD STE 105
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City | HANFORD
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State | CA
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Zip | 93230-4328
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Country | US
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Telephone | 559-582-2929
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Fax | 559-582-7705
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A8981
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License Number State | CA
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