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General NPI Number Information
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NPI Number | 1598779639
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Entity Type | Individual
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Provider Name | NANCY S MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 4201 BELFORT RD FAMILY BIRTH PLACE
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1431
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Country | US
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Telephone | 904-450-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 BELFORT ROAD FAMILY BIRTH PLACE, ST VINCENT'S SOUTHSIDE HOSPITAL
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-450-7778
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME77838
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License Number State | FL
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