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General NPI Number Information
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NPI Number | 1942384995
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Entity Type | Organization
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Legal Business Name | STEPHEN B. MILLER
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 5187 US ROUTE 60 E SUITE # 9
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City | HUNTINGTON
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State | WV
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Zip | 25705-2076
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Country | US
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Telephone | 304-399-2222
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Fax | 304-399-2223
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Provider Business Mailing Address
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Address Line | 5187 US ROUTE 60 E SUITE # 9
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City | HUNTINGTON
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State | WV
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Zip | 25705-2076
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Country | US
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Telephone | 304-399-2222
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Fax | 304-399-2223
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN B MILLER
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Credential | M.D.
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Telephone | 304-399-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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