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General NPI Number Information
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NPI Number | 1356338859
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Entity Type | Individual
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Provider Name | RAE ANNE MILLER APRN BC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 1630 LAFAYETTE RD STE 200
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-1092
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Country | US
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Telephone | 765-359-2230
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Fax | 765-359-2236
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DR STE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7241
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71000266
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License Number State | IN
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