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General NPI Number Information
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NPI Number | 1932201688
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Entity Type | Individual
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Provider Name | ROBERT MILLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1149 SAVANNAH HWY STE 305
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City | CHARLESTON
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State | SC
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Zip | 29407-7819
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Country | US
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Telephone | 843-213-6881
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Fax | 843-277-1971
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Provider Business Mailing Address
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Address Line | 480 BRIARGATE DR
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-2225
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Country | US
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Telephone | 847-841-1818
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Fax | 847-301-1981
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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 | 9395
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9395
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License Number State | IL
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