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General NPI Number Information
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NPI Number | 1225711799
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Entity Type | Individual
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Provider Name | MIRANDA NYRIE OAKELEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 10309 AVENIDA VISTA CERROS NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-5907
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Country | US
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Telephone | 806-438-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 51 APACHE RIDGE RD
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City | SANTA FE
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State | NM
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Zip | 87505-8906
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Country | US
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Telephone | 505-470-1094
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57041
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 57041
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License Number State | NM
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