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General NPI Number Information
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NPI Number | 1619982469
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Entity Type | Organization
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Legal Business Name | JAMES S. MILLER M.D., P. A.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 4541 N DAVIS HWY SUITE B
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City | PENSACOLA
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State | FL
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Zip | 32503-2783
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Country | US
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Telephone | 850-477-6190
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Fax |
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Provider Business Mailing Address
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Address Line | 4541 N DAVIS HWY SUITE B
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City | PENSACOLA
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State | FL
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Zip | 32503-2783
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Country | US
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Telephone | 850-477-6190
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES STEWART MILLER
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Credential | M.D.
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Telephone | 850-477-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 22150
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License Number State | FL
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