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General NPI Number Information
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NPI Number | 1104124502
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Entity Type | Individual
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Provider Name | TOBY LEA MILLER APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 1603 W 9TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-5202
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Country | US
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Telephone | 405-379-0002
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Fax | 405-300-1090
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Provider Business Mailing Address
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Address Line | 1603 W 9TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-5202
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Country | US
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Telephone | 405-379-0002
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Fax | 405-300-1090
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R0067082
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License Number State | OK
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