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General NPI Number Information
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NPI Number | 1790882108
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Entity Type | Individual
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Provider Name | BRIAN TERRY MILLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 508 LEANDER RD
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City | GEORGETOWN
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State | TX
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Zip | 78626-8406
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Country | US
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Telephone | 512-931-2288
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Fax | 512-892-3338
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Provider Business Mailing Address
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Address Line | PO BOX 268945
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8945
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Country | US
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Telephone | 512-388-1861
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Fax | 512-388-0373
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | F4284
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License Number State | TX
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