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General NPI Number Information
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NPI Number | 1649396391
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Entity Type | Individual
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Provider Name | KATHRYN C MILLER APRN
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 600 N CATTLEMEN RD SUITE 200
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City | SARASOTA
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State | FL
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Zip | 34232-6422
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Country | US
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Telephone | 941-377-9993
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Fax | 941-343-0026
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Provider Business Mailing Address
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Address Line | 4371 VERONICA S SHOEMAKER BLVD ATTN: CREDENTIAL DEPARTMENT
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City | FORT MYERS
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State | FL
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Zip | 33916-2216
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Country | US
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Telephone | 239-274-8200
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Fax | 239-278-3350
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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 | ARNP1098312
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License Number State | FL
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