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General NPI Number Information
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NPI Number | 1902017155
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL MILLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14 OAK FOREST RD STE F
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City | BLUFFTON
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State | SC
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Zip | 29910-4988
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Country | US
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Telephone | 843-757-0504
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Fax | 843-757-0560
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Provider Business Mailing Address
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Address Line | 263 BAMBERG DR
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City | BLUFFTON
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State | SC
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Zip | 29910-7401
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Country | US
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Telephone | 843-757-5794
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Fax | 843-757-0560
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3749
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License Number State | SC
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