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General NPI Number Information
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NPI Number | 1669203121
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Entity Type | Individual
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Provider Name | MORGAN E MILLS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 5757 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4641
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Country | US
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Telephone | 602-603-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 14161 W GRAY FOX TRL
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City | SURPRISE
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State | AZ
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Zip | 85387-1895
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Country | US
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Telephone | 623-866-8882
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 254516
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License Number State | AZ
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