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General NPI Number Information
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NPI Number | 1770565251
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Entity Type | Individual
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Provider Name | CHARLES LUTHER MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 30 SHREWSBURY PLAZA
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4332
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Country | US
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Telephone | 732-542-2124
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Fax | 732-460-0496
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Provider Business Mailing Address
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Address Line | PO BOX 8519
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City | RED BANK
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State | NJ
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Zip | 07701-8519
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Country | US
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Telephone | 732-460-9840
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Fax | 732-460-9848
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA2361500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 25MA2361500
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License Number State | NJ
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