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General NPI Number Information
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NPI Number | 1922666429
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Entity Type | Individual
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Provider Name | ERNEST MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 10 DOCTORS PARK
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City | GIBSON CITY
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State | IL
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Zip | 60936-2004
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Country | US
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Telephone | 217-784-4540
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Fax | 217-784-4542
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Provider Business Mailing Address
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Address Line | 1120 N MELVIN ST
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City | GIBSON CITY
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State | IL
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Zip | 60936-1477
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Country | US
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Telephone | 217-784-4251
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 69079
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036175347
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License Number State | IL
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