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General NPI Number Information
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NPI Number | 1942632948
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Entity Type | Individual
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Provider Name | ELIZABETH ANN MILLER NP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 282 WASHINGTON ST
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City | HARTFORD
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State | CT
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Zip | 06106-3322
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Country | US
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Telephone | 860-837-5560
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Fax |
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Provider Business Mailing Address
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Address Line | 8 THE GLADE
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City | SIMSBURY
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State | CT
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Zip | 06070-1041
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Country | US
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Telephone | 608-881-0378
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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 | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number | NP21094
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 13449
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License Number State | CT
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