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General NPI Number Information
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NPI Number | 1124013446
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Entity Type | Individual
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Provider Name | STUART J MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 50 NEW SCOTLAND AVE # MC-192 DIVISION OF CARDIO-THORACIC SURGERY
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City | ALBANY
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State | NY
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Zip | 12208-3403
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Country | US
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Telephone | 518-262-9777
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Fax | 518-262-9778
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Provider Business Mailing Address
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Address Line | 50 NEW SCOTLAND AVE # MC-192 DIVISION OF CARDIO-THORACIC SURGERY
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City | ALBANY
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State | NY
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Zip | 12208-3403
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Country | US
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Telephone | 518-262-9777
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Fax | 518-262-9778
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 161824
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License Number State | NY
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