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General NPI Number Information
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NPI Number | 1477154367
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Entity Type | Individual
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Provider Name | KATRINA MILLER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 528 N UNIVERSITY ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-3012
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Country | US
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Telephone | 615-867-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 515 LILLARD RD
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City | MURFREESBORO
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State | TN
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Zip | 37130-3131
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Country | US
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Telephone | 931-273-5811
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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 | 27653
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License Number State | TN
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