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General NPI Number Information
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NPI Number | 1487519815
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Entity Type | Individual
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Provider Name | RAINA MILLER NP
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 619 S 8TH ST
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City | GRIFFIN
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State | GA
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Zip | 30224-4260
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Country | US
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Telephone | 470-267-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 7621 SQUIRE CT
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City | FAIRBURN
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State | GA
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Zip | 30213-1133
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Country | US
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Telephone | 850-899-0549
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Fax | 850-899-0549
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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 | APRN-NP291007
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License Number State | GA
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