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General NPI Number Information
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NPI Number | 1306516513
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Entity Type | Individual
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Provider Name | ADRIAN WILLIAM MILLER FNP
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Gender | Male
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 2710 SAINT FRANCIS DR STE 111
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City | WATERLOO
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State | IA
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Zip | 50702-5664
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Country | US
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Telephone | 319-272-7425
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Fax | 319-272-8059
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Provider Business Mailing Address
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Address Line | 3111 EUBANK BLVD NE STE B
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-4875
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Country | US
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Telephone |
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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 | 65233
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License Number State | NM
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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 | A159408
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License Number State | IA
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