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General NPI Number Information
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NPI Number | 1821087032
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Entity Type | Individual
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Provider Name | GREGORY JONATHAN MILLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7723 ALASKA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1458
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Country | US
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Telephone | 202-882-7878
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Fax | 202-882-4948
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Provider Business Mailing Address
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Address Line | 9223 QUINTANA DR
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City | BETHESDA
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State | MD
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Zip | 20817-2001
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Country | US
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Telephone | 301-365-2606
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Fax | 301-365-2606
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN4342
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License Number State | DC
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