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NPI 1144555293

NPI 1144555293 : JOYCE MILLER MISKOVIC CRNP : OWINGS MILLS, MD

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General NPI Number Information
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    NPI Number           |    1144555293
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    Entity Type          |    Individual 
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    Provider Name        |    JOYCE MILLER MISKOVIC CRNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/07/2009
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    Last Update Date     |    10/07/2009
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Provider Practice Location Address
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    Address Line         |    11200 GUNDRY LN 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-6254
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    Country              |    US
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    Telephone            |    443-471-2499
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    Fax                  |    443-471-3477
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Provider Business Mailing Address
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    Address Line         |    11200 GUNDRY LN 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-6254
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    Country              |    US
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    Telephone            |    443-471-2499
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    Fax                  |    443-471-3477
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    R086491
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    R086491
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    License Number State |    MD
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