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General NPI Number Information
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NPI Number | 1770535023
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Entity Type | Individual
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Provider Name | JOHN JAMES MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 1220 BASICH BLVD STE B
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City | ABERDEEN
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State | WA
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Zip | 98520-1070
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Country | US
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Telephone | 360-537-7577
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Fax | 360-537-7598
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Provider Business Mailing Address
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Address Line | 1220 BASICH BLVD STE B
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City | ABERDEEN
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State | WA
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Zip | 98520-1070
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Country | US
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Telephone | 360-537-7577
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Fax | 360-537-7598
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD00041202
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License Number State | WA
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