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General NPI Number Information
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NPI Number | 1649243296
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Entity Type | Individual
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Provider Name | THOMAS AUSTIN MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NMETC (CODE OGMC) 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889
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Country | US
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Telephone | 301-319-8027
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Fax | 301-295-6113
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Provider Business Mailing Address
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Address Line | 5819 MAGIC MOUNTAIN DR
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City | ROCKVILLE
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State | MD
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Zip | 20852-3231
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Country | US
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Telephone | 301-319-8027
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Fax | 301-295-6113
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0052924
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License Number State | MD
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