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General NPI Number Information
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NPI Number | 1336963172
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Entity Type | Individual
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Provider Name | HOLLY MIKAYLA MILNER BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 310 W PLUM ST
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City | NOGALES
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State | AZ
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Zip | 85621-2613
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Country | US
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Telephone | 520-287-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 VIA FONTANA
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City | RIO RICO
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State | AZ
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Zip | 85648-6817
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Country | US
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Telephone | 520-595-6351
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 244587
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 244587
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 244587
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License Number State | AZ
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