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General NPI Number Information
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NPI Number | 1821589037
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Entity Type | Organization
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Legal Business Name | EDWARD B. MILLER, D.D.S.
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 410 W WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4620
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Country | US
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Telephone | 972-298-6131
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Fax | 972-296-7887
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Provider Business Mailing Address
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Address Line | 410 W WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4620
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Country | US
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Telephone | 972-298-6131
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Fax | 972-296-7887
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. EDWARD MILLER
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Credential | DDS
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Telephone | 972-298-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 21331
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License Number State | TX
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