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General NPI Number Information
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NPI Number | 1003872540
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Entity Type | Individual
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Provider Name | ADRIENNE MILLIGAN PLATT CPNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 36974 BONNIE LAKES RD
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City | CROSSLAKE
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State | MN
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Zip | 56442
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Country | US
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Telephone | 816-835-0929
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Fax |
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Provider Business Mailing Address
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Address Line | 36974 BONNIE LAKES RD
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City | CROSSLAKE
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State | MN
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Zip | 56442-3109
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Country | US
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Telephone | 816-835-0929
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 2002028643
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 140607
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 10170
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License Number State | MN
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