MEDICARE: MR. DUANE C MILLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D6498	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093708687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DUANE C MILLER MD

Provider Business Mailing Address
First Line	:	1301 S LEGGETT DR
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79605-3826
Country	:	US
Telephone Number	:	325-672-1984
Fax Number	:	325-676-1995

Provider Business Practice Location Address
First Line	:	1111 INDUSTRIAL BLVD
Second Line	:	BLDG 2
City	:	ABILENE
State	:	TX
Zip	:	79602-7929
Country	:	US
Telephone Number	:	325-795-9140
Fax Number	:	325-795-9150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	06/02/2010

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