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General NPI Number Information
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NPI Number | 1417580812
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Entity Type | Individual
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Provider Name | ERICA NICOLE MILLER MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 498 NW 18TH ST
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City | RICHMOND
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State | IN
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Zip | 47374-2851
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Country | US
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Telephone | 765-966-0511
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Fax |
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Provider Business Mailing Address
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Address Line | 4505 S MT ZION RD
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City | CONNERSVILLE
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State | IN
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Zip | 47331-8990
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Country | US
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Telephone | 765-541-2858
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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 | F02200435
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License Number State | IN
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