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General NPI Number Information
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NPI Number | 1083887962
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Entity Type | Individual
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Provider Name | DONALD MICHAEL MILLER MSN,NP,CRRN
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Gender | Male
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 175 S UNION BLVD STE 350
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3146
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Country | US
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Telephone | 719-633-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2412
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0004547-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN.0122229
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RXN.0100271-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0004547-NP
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License Number State | CO
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