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General NPI Number Information
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NPI Number | 1679881338
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Entity Type | Organization
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Legal Business Name | THOMAS J. MILLER, M.D., P.A.
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 3600 MATLOCK RD STE 102
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City | ARLINGTON
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State | TX
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Zip | 76015-3679
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Country | US
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Telephone | 817-467-9096
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Fax | 817-472-9338
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Provider Business Mailing Address
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Address Line | 3600 MATLOCK RD STE 102
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City | ARLINGTON
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State | TX
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Zip | 76015-3679
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Country | US
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Telephone | 817-467-9096
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Fax | 817-472-9338
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS J MILLER
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Credential | M.D,
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Telephone | 871-467-9096
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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 | G4655
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License Number State | TX
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