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General NPI Number Information
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NPI Number | 1063969038
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Entity Type | Individual
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Provider Name | SHERRY MILLER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 1000 4TH ST SW
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City | MASON CITY
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State | IA
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Zip | 50401-2800
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Country | US
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Telephone | 641-428-7951
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Fax | 641-428-7269
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Provider Business Mailing Address
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Address Line | 621 S ILLINOIS AVE SUITE 103
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City | MASON CITY
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State | IA
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Zip | 50401-5489
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Country | US
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Telephone | 641-428-3041
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Fax | 641-428-3059
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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 | A091469
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License Number State | IA
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