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General NPI Number Information
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NPI Number | 1326835992
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Entity Type | Individual
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Provider Name | JAMES MILLER JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 528 WASHINGTON HWY
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City | MORRISVILLE
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State | VT
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Zip | 05661-8973
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Country | US
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Telephone | 802-888-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 9925 OSPREY DR
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City | FORT WORTH
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State | TX
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Zip | 76108-4332
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Country | US
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Telephone | 916-235-0350
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 026.0155636
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 101.0138355
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License Number State | VT
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