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General NPI Number Information
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NPI Number | 1558085688
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE MILLER AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3432 CAPITAL AVE SW
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9354
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Country | US
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Telephone | 877-279-5960
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Fax | 877-384-3106
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Provider Business Mailing Address
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Address Line | 729 CEMETERY RD
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City | BRONSON
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State | MI
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Zip | 49028-9711
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Country | US
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Telephone | 309-678-9700
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4704313625
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704313625
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License Number State | MI
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