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General NPI Number Information
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NPI Number | 1255023909
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Entity Type | Individual
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Provider Name | URIAH MILLEN RN
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Gender | Male
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 4211 VAN DYKE RD
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City | LUTZ
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State | FL
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Zip | 33558-8005
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Country | US
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Telephone | 813-443-7533
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Fax |
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Provider Business Mailing Address
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Address Line | 4228 GRANITE GLEN LOOP
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8870
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Country | US
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Telephone | 954-778-1480
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11027603
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License Number State | FL
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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 | RN9208553
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License Number State | FL
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