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General NPI Number Information
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NPI Number | 1649683855
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Entity Type | Individual
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Provider Name | MICHAEL JOHN MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | NAVAL MEDICAL CTR 34800 BOB WILSON DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92134-5000
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Country | US
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Telephone | 319-230-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 6437 CORAL LAKE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92119-2508
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D86555
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | E-16578
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 83084
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MD-42776
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License Number State | IA
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