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General NPI Number Information
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NPI Number | 1710968805
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Entity Type | Individual
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Provider Name | JOHN DANIEL MILLER OD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2170 MIDLAND RD
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-2999
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Country | US
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Telephone | 910-295-2100
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Fax | 910-295-4531
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Provider Business Mailing Address
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Address Line | 2170 MIDLAND RD
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-2999
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Country | US
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Telephone | 910-295-2100
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Fax | 910-295-4531
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1155
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License Number State | NC
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