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General NPI Number Information
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NPI Number | 1518616861
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Entity Type | Individual
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Provider Name | NIKKI GRACE MILLER CNP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 5150 E DUBLIN GRANVILLE RD STE 340
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City | COLUMBUS
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State | OH
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Zip | 43081-7128
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Country | US
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Telephone | 614-566-4350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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Country | US
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Telephone |
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Fax | 614-544-6370
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0031587
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-CNP-0031587
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License Number State | OH
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