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General NPI Number Information
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NPI Number | 1972512739
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Entity Type | Individual
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Provider Name | JONATHAN A MILLER D.P.M
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 31 MEETING HOUSE RD
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City | SOUTH CHATHAM
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State | MA
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Zip | 02659-1400
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Country | US
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Telephone | 508-432-7100
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Fax | 508-432-7101
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Provider Business Mailing Address
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Address Line | 31 MEETING HOUSE RD
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City | SOUTH CHATHAM
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State | MA
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Zip | 02659-1400
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Country | US
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Telephone | 508-432-7100
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Fax | 508-432-7101
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO 2808
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2142
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License Number State | MA
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