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General NPI Number Information
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NPI Number | 1639351752
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Entity Type | Organization
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Legal Business Name | DR NEIL P MILLER
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 88 CHURCH ST
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City | SARANAC LAKE
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State | NY
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Zip | 12983-1860
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Country | US
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Telephone | 518-891-0680
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Fax | 518-891-0683
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Provider Business Mailing Address
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Address Line | 88 CHURCH ST
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City | SARANAC LAKE
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State | NY
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Zip | 12983-1860
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Country | US
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Telephone | 518-891-0680
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Fax | 518-891-0683
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEIL P MILLER
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Credential | OD
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Telephone | 518-891-0680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | TUV0032761
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | TUV0032761
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TUV0032761
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License Number State | NY
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