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General NPI Number Information
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NPI Number | 1033254537
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Entity Type | Individual
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Provider Name | JORILYN E MILLER RN APN NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 206-348-8206
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Fax |
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Provider Business Mailing Address
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Address Line | 22509 86TH PL
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City | SALEM
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State | WI
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Zip | 53168-9397
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Country | US
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Telephone | 630-302-1313
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6214-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209008399
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 41342447
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 157188-30
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License Number State | WI
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