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General NPI Number Information
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NPI Number | 1679656748
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Entity Type | Organization
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Legal Business Name | WILLIAM M. MILLER, O.D.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 310 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-3878
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Country | US
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Telephone | 740-687-5865
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Fax | 740-687-5865
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Provider Business Mailing Address
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Address Line | 310 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-3878
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Country | US
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Telephone | 740-687-5865
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Fax | 740-687-5865
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM MERLE MILLER
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Credential | O.D.
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Telephone | 740-687-5865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 3482/T568
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License Number State | OH
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