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General NPI Number Information
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NPI Number | 1508028564
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Entity Type | Individual
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Provider Name | CAMERON KENNEDY MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 507 EXECUTIVE CAMPUS DR SUITE 160
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City | WESTERVILLE
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State | OH
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Zip | 43082-9838
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Country | US
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Telephone | 614-891-9505
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Fax | 614-891-6416
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Provider Business Mailing Address
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Address Line | 507 EXECUTIVE CAMPUS DR SUITE 160
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City | WESTERVILLE
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State | OH
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Zip | 43082-9838
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Country | US
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Telephone | 614-891-9505
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Fax | 614-891-6416
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.094937
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License Number State | OH
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