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General NPI Number Information
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NPI Number | 1285446427
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Entity Type | Individual
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Provider Name | JULIA ELAINE MILLER NP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1224 US HIGHWAY 19 S
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City | LEESBURG
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State | GA
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Zip | 31763-4877
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Country | US
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Telephone | 229-312-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 817 MILLER RD
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City | DAWSON
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State | GA
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Zip | 39842-4927
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Country | US
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Telephone | 912-687-3419
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 275482
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License Number State | GA
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