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General NPI Number Information
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NPI Number | 1417903329
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Entity Type | Individual
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Provider Name | JUDY ANGELA MILLER DO
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 801 W MAPLE ST
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City | FARMINGTON
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State | NM
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Zip | 87401-5630
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Country | US
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Telephone | 505-609-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2917 E 211TH ST S
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City | MOUNDS
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State | OK
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Zip | 74047-5070
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Country | US
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Telephone | 918-694-1474
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Fax | 918-366-1028
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4215
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO2022-0067
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DO2022-0067
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License Number State | NM
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