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General NPI Number Information
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NPI Number | 1114119617
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Entity Type | Individual
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Provider Name | NICOLE M MILLIKEN CNP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 09/17/2022
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Provider Practice Location Address
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Address Line | 1215 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1811
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Country | US
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Telephone | 517-482-7246
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Fax | 517-484-7377
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Provider Business Mailing Address
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Address Line | 1540 LAKE LANSING RD STE G6
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City | LANSING
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State | MI
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Zip | 48912-3757
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Country | US
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Telephone | 517-482-7246
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Fax | 517-484-7377
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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 | NP 09499
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704307959
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License Number State | MI
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