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General NPI Number Information
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NPI Number | 1750367009
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Entity Type | Individual
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Provider Name | JOHN D MILLER D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 26750 PROVIDENCE PKWY SUITE 130
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City | NOVI
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State | MI
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Zip | 48374-1211
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Country | US
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Telephone | 248-348-5300
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Fax | 248-348-5410
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Provider Business Mailing Address
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Address Line | 26750 PROVIDENCE PKWY SUITE 130
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City | NOVI
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State | MI
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Zip | 48374-1211
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Country | US
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Telephone | 248-348-5300
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Fax | 248-348-5410
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | JM002024
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | JM002024
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License Number State | MI
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