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General NPI Number Information
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NPI Number | 1508047960
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Entity Type | Organization
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Legal Business Name | P DANIEL MILLER D.O., P.A.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 69 WOLF ACRES DR
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City | OAKLAND
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State | MD
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Zip | 21550-2046
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Country | US
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Telephone | 301-334-4400
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Fax | 301-334-8228
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Provider Business Mailing Address
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Address Line | 69 WOLF ACRES DR
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City | OAKLAND
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State | MD
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Zip | 21550-2046
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Country | US
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Telephone | 301-334-4400
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Fax | 301-334-8228
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL DANIEL MILLER
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Credential | D.O.
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Telephone | 301-334-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | H0026154
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License Number State | MD
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