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General NPI Number Information
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NPI Number | 1205905999
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Entity Type | Individual
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Provider Name | EDWARD V MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 181 CONCORD ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8305
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Country | US
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Telephone | 508-879-3204
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CUTTING CROSS WAY
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City | WAYLAND
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State | MA
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Zip | 01778-3844
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Country | US
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Telephone | 508-358-9964
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 39412
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License Number State | MA
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