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General NPI Number Information
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NPI Number | 1699771626
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Entity Type | Individual
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Provider Name | RICHARD A MILLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 4759 US HIGHWAY 19
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4945
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Country | US
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Telephone | 727-841-8772
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Fax | 727-848-5897
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Provider Business Mailing Address
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Address Line | 4759 US HIGHWAY 19
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4945
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Country | US
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Telephone | 727-841-8772
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Fax | 727-848-5897
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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 | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | OS4525
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License Number State | FL
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