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General NPI Number Information
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NPI Number | 1700868353
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Entity Type | Individual
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Provider Name | LINDA A MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 316 NURSING HOME DR
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City | ARCADIA
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State | FL
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Zip | 34266-3870
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Country | US
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Telephone | 863-993-7717
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Fax | 863-491-4215
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Provider Business Mailing Address
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Address Line | 6989 E FOWLER AVE
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1714
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Country | US
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Telephone | 813-935-4210
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Fax | 813-932-7940
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 5318
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME112763
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | ME112763
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License Number State | FL
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