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General NPI Number Information
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NPI Number | 1346510492
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Entity Type | Individual
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Provider Name | COLLEEN MILLER-OWEN APN
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Gender | Female
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 10740 PALM RIVER RD STE 360
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City | TAMPA
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State | FL
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Zip | 33619-4578
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Country | US
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Telephone | 813-660-6400
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Fax | 813-660-6699
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | TAMPA
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State | FL
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Zip | 33601-1289
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Country | US
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Telephone | 813-660-6400
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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 | 209003729
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License Number State | IL
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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 | 209003729
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11002336
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License Number State | FL
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