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General NPI Number Information
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NPI Number | 1588061048
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Entity Type | Individual
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Provider Name | FELISHA MILLER FNP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2014
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 320 CENTRAL AVE STE 304
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City | COOS BAY
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State | OR
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Zip | 97420-2241
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Country | US
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Telephone | 541-269-0800
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Fax | 541-269-0444
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Provider Business Mailing Address
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Address Line | 320 CENTRAL AVE STE 304
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City | COOS BAY
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State | OR
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Zip | 97420-2241
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Country | US
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Telephone | 541-269-0800
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Fax | 541-269-0444
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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 | 991948
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201508553NP-PP
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License Number State | OR
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