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General NPI Number Information
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NPI Number | 1457729402
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Entity Type | Individual
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Provider Name | DARLA MILES APRN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 591 2ND AVE N
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City | WINDOM
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State | MN
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Zip | 56101-1927
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Country | US
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Telephone | 419-973-4820
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 ESTUARY PL
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City | MAUMEE
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State | OH
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Zip | 43537-9437
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Country | US
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Telephone | 419-973-4820
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Fax | 419-973-4820
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 230393-8
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License Number State | MN
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