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Individual
THEODORE MILLER
Active
Individual
THEODORE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14156
CT
363LF0000X
Family Nurse Practitioner
26NJ15197700
NJ
363LF0000X
Family Nurse Practitioner
Primary
345051
NY
363LF0000X
Family Nurse Practitioner
SP031741
PA
Other
Enumeration date
09/25/2019
Last updated
04/29/2025
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