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General NPI Number Information
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NPI Number | 1528243128
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Entity Type | Organization
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Legal Business Name | JASON MILLER DPM PA
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 350 KINGWOOD MEDICAL DR SUITE 150
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City | KINGWOOD
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State | TX
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Zip | 77339-6405
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Country | US
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Telephone | 281-348-2166
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Fax | 281-358-2153
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Provider Business Mailing Address
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Address Line | 25511 BUDDE RD STE 3701
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City | THE WOODLANDS
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State | TX
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Zip | 77380-4173
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Country | US
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Telephone | 561-479-7761
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Fax | 281-358-2153
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | JEFFREY BUNTING
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Credential | CPA
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Telephone | 561-479-7761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1780
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License Number State | TX
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