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General NPI Number Information
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NPI Number | 1568629582
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Entity Type | Individual
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Provider Name | BRETT L MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 701 6TH ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4891
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Country | US
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Telephone | 321-841-2335
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Fax |
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Provider Business Mailing Address
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Address Line | 701 6TH ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4891
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Country | US
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Telephone | 321-841-2335
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A111349
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME147332
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License Number State | FL
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