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General NPI Number Information
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NPI Number | 1700160421
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Entity Type | Individual
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Provider Name | LISA REBECCA MILLER N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 4704 AUGUSTA RD
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City | GARDEN CITY
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State | GA
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Zip | 31408-1758
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Country | US
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Telephone | 912-964-4326
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Fax |
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Provider Business Mailing Address
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Address Line | 110 BRANDYWINE RD
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City | SAVANNAH
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State | GA
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Zip | 31405-5219
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Country | US
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Telephone | 310-422-0639
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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 | RN303217
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License Number State | GA
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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 | NP21066
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License Number State | CA
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