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General NPI Number Information
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NPI Number | 1538487244
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Entity Type | Individual
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Provider Name | KRISTY LEE MILLER APRN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 1700 S TAMIAMI TRAIL TRAUMA SURGERY
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City | SARASOTA
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State | FL
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Zip | 34239
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Country | US
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Telephone | 941-917-7494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 947407
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City | ATLANTA
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State | GA
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Zip | 30394-7407
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Country | US
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Telephone | 941-917-2600
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Fax | 941-917-7884
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | ARNP9245804
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9245804
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License Number State | FL
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