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General NPI Number Information
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NPI Number | 1396378378
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Entity Type | Individual
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Provider Name | KELSEY D MILLER RN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 1107 E 7TH ST
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City | MINATARE
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State | NE
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Zip | 69356-3994
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Country | US
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Telephone | 308-783-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 E 7TH ST
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City | MINATARE
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State | NE
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Zip | 69356-3994
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Country | US
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Telephone | 303-656-6032
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 68433
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License Number State | NE
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