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Individual
STACI L MILLER
Active
Individual
STACI L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033085-1
NY
225100000X
Physical Therapist
0400003599
VT
225100000X
Physical Therapist
Primary
11833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068157
BLUE CROSS BLUE SHIELD
VT
05
—
1010769
—
VT
01
—
11346086
CIGNA
—
01
—
373056
MVP HEALTHCARE
—
Enumeration date
08/30/2006
Last updated
03/18/2011
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