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General NPI Number Information
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NPI Number | 1932219094
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Entity Type | Individual
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Provider Name | BRUCE MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 350 PARNASSUS AVE SUITE 706
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3608
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Country | US
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Telephone | 415-476-6242
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Fax |
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Provider Business Mailing Address
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Address Line | 47 WOODLAND AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3814
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Country | US
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Telephone | 415-242-5545
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G44990
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License Number State | CA
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