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General NPI Number Information
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NPI Number | 1629190137
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Entity Type | Organization
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Legal Business Name | MORTON MILLER, M.D.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 4350 GOLF RD
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City | SKOKIE
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State | IL
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Zip | 60076-1480
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Country | US
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Telephone | 847-677-1923
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 GOLF RD
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City | SKOKIE
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State | IL
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Zip | 60076-1480
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Country | US
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Telephone | 847-677-1923
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MORTON MILLER
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Credential |
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Telephone | 847-677-1923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036038202
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License Number State | IL
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