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General NPI Number Information
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NPI Number | 1710036272
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Entity Type | Individual
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Provider Name | STEWART L MILLER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | MICHAEL E. DEBAKEY 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-0001
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Country | US
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Telephone | 281-540-5018
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Fax |
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Provider Business Mailing Address
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Address Line | 23124 VOLGA DR
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City | PORTER
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State | TX
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Zip | 77365-5290
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Country | US
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Telephone | 254-462-2955
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA03523
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License Number State | TX
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