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NPI 1962595090

NPI 1962595090 : ALAN M MILLER M.D., PHD : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1962595090
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    Entity Type          |    Individual 
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    Provider Name        |    ALAN M MILLER M.D., PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/02/2006
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    Last Update Date     |    03/20/2015
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Provider Practice Location Address
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    Address Line         |    3410 WORTH ST 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75246-2003
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    Country              |    US
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    Telephone            |    214-370-1000
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    Fax                  |    214-370-1026
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Provider Business Mailing Address
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    Address Line         |    PIO BOX 911230 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75391-1230
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    Country              |    US
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    Telephone            |    972-997-8000
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    Fax                  |    972-234-2987
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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        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    09867R
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    N1771
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    N1771
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    License Number State |    TX
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