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General NPI Number Information
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NPI Number | 1972567808
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Entity Type | Individual
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Provider Name | SHARON L MILLER NP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 2950 ELMWOOD AVE
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City | KENMORE
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State | NY
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Zip | 14217-1304
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Country | US
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Telephone | 716-871-0171
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Fax | 716-871-0173
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Provider Business Mailing Address
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Address Line | 1390 E RIVER RD
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City | GRAND ISLAND
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State | NY
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Zip | 14072-2332
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Country | US
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Telephone | 716-773-3100
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F301354
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License Number State | NY
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