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General NPI Number Information
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NPI Number | 1851557813
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Entity Type | Individual
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Provider Name | ERIC DARREN MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 15190 SW 136TH ST STE 2627
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City | MIAMI
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State | FL
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Zip | 33196-2604
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Country | US
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Telephone | 305-702-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S FEDERAL HWY APT 728
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-4334
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Country | US
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Telephone | 702-616-5786
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME148431
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License Number State | FL
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