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General NPI Number Information
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NPI Number | 1295157097
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Entity Type | Individual
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Provider Name | LOWELL E MILLER APN
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Gender | Male
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 1203 OLD GRAY STATION RD
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City | JOHNSON CITY
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State | TN
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Zip | 37615-3712
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Country | US
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Telephone | 423-207-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 OLD GRAY STATION RD
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City | JOHNSON CITY
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State | TN
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Zip | 37615-3712
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Country | US
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Telephone | 423-207-1230
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | APN000001717425
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License Number State | TN
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