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General NPI Number Information
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NPI Number | 1982741526
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Entity Type | Individual
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Provider Name | CRAIG T MILLER CCP
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1920 PETALUMA DR
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City | CHULA VISTA
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State | CA
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Zip | 91913-1640
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Country | US
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Telephone | 619-726-4748
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 PETALUMA DR
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City | CHULA VISTA
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State | CA
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Zip | 91913-1640
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Country | US
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Telephone | 619-726-4748
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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 | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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