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Individual
R. EDWARD MINER
Active
Individual
R. EDWARD MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00567111
—
NY
01
—
P010125942
BLUE CHOICE
NY
01
—
PREFERRED CARE
PREFERRED CARE
NY
Enumeration date
01/25/2006
Last updated
02/16/2011
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