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General NPI Number Information
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NPI Number | 1710650791
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Entity Type | Individual
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Provider Name | HAYLEY ANTEE MILLER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 1745 PEACHTREE ST NE STE F
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City | ATLANTA
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State | GA
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Zip | 30309-2463
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Country | US
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Telephone | 678-660-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 3548 ARCHGATE CT
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City | ALPHARETTA
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State | GA
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Zip | 30004-0641
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Country | US
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Telephone | 850-288-0737
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN252054
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License Number State | GA
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