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Individual
JAY R MILLER
Active
Individual
JAY R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01035230
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01035230
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127720A
—
IN
Enumeration date
11/21/2005
Last updated
12/30/2010
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