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General NPI Number Information
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NPI Number | 1548414105
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Entity Type | Organization
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Legal Business Name | JAMES D MILLER DC LLC
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 201 ENTERPRISE AVE SUITE # 600-C
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3082
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Country | US
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Telephone | 832-864-2129
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Fax | 832-864-3568
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Provider Business Mailing Address
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Address Line | 201 ENTERPRISE AVE SUITE # 600-C
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3082
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Country | US
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Telephone | 832-864-2129
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Fax | 832-864-3568
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES D MILLER
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Credential | DC
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Telephone | 832-864-2129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12622
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License Number State | TX
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