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General NPI Number Information
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NPI Number | 1396527412
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Entity Type | Individual
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Provider Name | EMILY ROSE MILLER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 39555 W 10 MILE RD STE 301
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City | NOVI
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State | MI
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Zip | 48375-2950
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Country | US
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Telephone | 248-426-9680
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 HARWOOD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-4070
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Country | US
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Telephone | 419-206-8015
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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 | 4704355260
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License Number State | MI
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