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General NPI Number Information
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NPI Number | 1972573087
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Entity Type | Individual
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Provider Name | JAMES RICHARD MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-7625
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Fax |
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Provider Business Mailing Address
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Address Line | 620 JOHN PAUL JONES CIRCLE NAVAL MEDICAL CENTER
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City | PORTSMOUTH
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State | VA
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Zip | 23708
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Country | US
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Telephone | 757-953-5528
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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 | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | MD039294E
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License Number State | PA
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