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General NPI Number Information
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NPI Number | 1659264927
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Entity Type | Individual
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Provider Name | ANTHONY NICKOLAS MILLER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 741 12TH ST
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City | TELL CITY
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State | IN
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Zip | 47586-1728
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Country | US
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Telephone | 812-547-3478
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Fax |
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Provider Business Mailing Address
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Address Line | 910 10TH ST
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City | TELL CITY
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State | IN
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Zip | 47586-2120
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Country | US
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Telephone | 812-719-2215
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12014751A
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License Number State | IN
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