MEDICARE: MR. DANIEL MILLER DIPL. OF ACUPUNC

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	171100000X	Acupuncturist	UO1640	MD

General Provider Information

NPI Number	:	1790933091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL MILLER DIPL. OF ACUPUNC

Provider Business Mailing Address
First Line	:	10100 PISCATAWAY RD
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4421
Country	:	US
Telephone Number	:	301-996-9666
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 ALLENTOWN RD
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4521
Country	:	US
Telephone Number	:	301-996-9666
Fax Number	:

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

Provider Enumeration Date	:	08/29/2008
Last Update Date	:	08/29/2008

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