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General NPI Number Information
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NPI Number | 1407623234
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Entity Type | Individual
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Provider Name | ELIZABETH MILLER GAA
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Gender | Female
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5520 PARK AVE
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City | TRUMBULL
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State | CT
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Zip | 06611-3463
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Country | US
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Telephone | 203-502-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 57 TRAILING ROCK RD
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City | STAMFORD
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State | CT
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Zip | 06903-2021
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Country | US
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Telephone | 201-693-2731
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 689779
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 13830
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License Number State | CT
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