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General NPI Number Information
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NPI Number | 1366044323
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Entity Type | Individual
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Provider Name | KELSEY ELIZABETH MILLER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 10 MEDICAL PARK STE 300
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City | WHEELING
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State | WV
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Zip | 26003-6389
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Country | US
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Telephone | 304-242-3900
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Fax | 304-242-8564
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Provider Business Mailing Address
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Address Line | 969 COOPER LN
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City | PROCTOR
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State | WV
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Zip | 26055-1424
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Country | US
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Telephone | 304-771-8264
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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 | 107141
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License Number State | WV
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