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General NPI Number Information
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NPI Number | 1154608198
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Entity Type | Individual
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Provider Name | TERESA MARIE MILLER CNP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 2350 BRIGGS RD
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City | COLUMBUS
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State | OH
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Zip | 43223-3218
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Country | US
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Telephone | 614-274-8885
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Fax | 614-274-8895
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Provider Business Mailing Address
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Address Line | 2350 BRIGGS RD
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City | COLUMBUS
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State | OH
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Zip | 43223-3218
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Country | US
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Telephone | 614-274-8885
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Fax | 614-274-8895
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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 | R211062
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.12878-NP
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License Number State | OH
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