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General NPI Number Information
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NPI Number | 1982648333
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Entity Type | Individual
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Provider Name | TIMOTHY CHARLES MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 301 S PRICE ST STE 1
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City | KINGWOOD
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State | WV
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Zip | 26537
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Country | US
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Telephone | 304-329-3300
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Fax | 304-329-3301
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Provider Business Mailing Address
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Address Line | 301 S PRICE ST STE 1
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City | KINGWOOD
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State | WV
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Zip | 26537
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Country | US
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Telephone | 304-329-3300
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Fax | 304-329-3301
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 12569
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License Number State | WV
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