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General NPI Number Information
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NPI Number | 1417836917
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Entity Type | Individual
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Provider Name | JORDYN LYNN MILLER
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2050 LEXINGTON RD
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City | VERSAILLES
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State | KY
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Zip | 40383-1738
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Country | US
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Telephone | 859-251-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 633 N EAST ST
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City | NEW AUBURN
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State | WI
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Zip | 54757-8505
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Country | US
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Telephone | 715-944-7674
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 2531050
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License Number State | MN
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