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General NPI Number Information
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NPI Number | 1962670042
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Entity Type | Organization
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Legal Business Name | MARSHALL V MILLER
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 122A SOUTH GOOSE CREEK BLVD
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City | GOOSE CREEK
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State | SC
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Zip | 29445
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Country | US
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Telephone | 843-764-3081
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | GOOSE CREEK
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State | SC
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Zip | 29445-0038
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Country | US
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Telephone | 843-764-3081
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Fax | 843-764-4977
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARSHALL MILLER
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Credential |
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Telephone | 843-764-3081
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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 |
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License Number State |
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