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General NPI Number Information
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NPI Number | 1538638143
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Entity Type | Individual
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Provider Name | DEAN MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | KENNER ARMY HEALTH CLINIC 700 24TH STREET
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City | FORT GREGG-ADAMS
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State | VA
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Zip | 23801
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Country | US
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Telephone | 804-734-8000
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Fax |
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Provider Business Mailing Address
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Address Line | THOMAS MOORE CLINIC 2245 761ST TANK BATTALION AVENUE
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City | FORT HOOD
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-285-6230
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 32424
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License Number State | NE
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