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General NPI Number Information
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NPI Number | 1992797526
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Entity Type | Individual
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Provider Name | PAUL J MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 2230 LYNN RD SUITE 103
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1901
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Country | US
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Telephone | 805-496-4111
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Fax | 805-496-2861
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Provider Business Mailing Address
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Address Line | 2230 LYNN RD STE 103
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1958
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Country | US
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Telephone | 208-437-2114
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Fax | 208-437-2113
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G65396
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License Number State | CA
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