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General NPI Number Information
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NPI Number | 1770531204
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Entity Type | Individual
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Provider Name | ANTHONY J MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 888 S RANCHO DR
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City | LAS VEGAS
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State | NV
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Zip | 89106-3810
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Country | US
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Telephone | 702-877-5125
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Fax | 702-877-8370
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Provider Business Mailing Address
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Address Line | PO BOX 4934
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City | ALBUQUERQUE
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State | NM
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Zip | 87196-4934
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Country | US
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Telephone | 505-298-0301
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Fax | 505-998-3100
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD2009-0544
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.089451
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 40744
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 234069
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0067712
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036167592
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License Number State | IL
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