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General NPI Number Information
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NPI Number | 1366927584
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Entity Type | Individual
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Provider Name | JODY JAE MILLER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1251 NORTHFIELD RD STE 301
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City | CEDAR CITY
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State | UT
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Zip | 84721-8625
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Country | US
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Telephone | 435-865-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 89 W 2875 NORTH CIR
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City | CEDAR CITY
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State | UT
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Zip | 84721-5958
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Country | US
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Telephone | 435-531-1637
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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 | 359204-8900
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License Number State | UT
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