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General NPI Number Information
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NPI Number | 1073584421
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Entity Type | Organization
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Legal Business Name | STEPHEN MILLER MD PA
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 16110 VIA SHAVANO
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2380
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Country | US
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Telephone | 210-615-7171
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Fax | 210-615-6793
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Provider Business Mailing Address
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Address Line | 16110 VIA SHAVANO
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2380
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Country | US
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Telephone | 210-615-7171
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Fax | 210-615-6793
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | STEPHEN MILLER
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Credential | MD
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Telephone | 210-615-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | J7586
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License Number State | TX
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