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General NPI Number Information
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NPI Number | 1801082102
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Entity Type | Individual
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Provider Name | GARTH A MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 101 N MAIN ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3413
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Country | US
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Telephone | 360-678-7656
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Fax | 360-678-7676
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Provider Business Mailing Address
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Address Line | PO BOX 3603
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City | SEATTLE
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State | WA
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Zip | 98124-3603
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Country | US
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Telephone | 360-678-7656
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Fax | 866-442-8884
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 013198
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 013198
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 013198
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 00018695
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License Number State | WA
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