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NPI 1396076683

NPI 1396076683 : CHRISTY ANN MILLER PA-C : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1396076683
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTY ANN MILLER PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/26/2010
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    4300 W MEMORIAL RD 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73120-8304
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    Country              |    US
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    Telephone            |    405-752-3030
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4401 W MEMORIAL RD STE 140 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73134-1787
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    Country              |    US
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    Telephone            |    405-752-3162
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    Fax                  |    405-936-5211
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    1895
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    License Number State |    OK
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