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General NPI Number Information
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NPI Number | 1730388844
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Entity Type | Individual
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Provider Name | PAULA J MILLER APN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 2725 KEITH ST NW
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City | CLEVELAND
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State | TN
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Zip | 37312-3706
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Country | US
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Telephone | 423-476-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 6170 SHALLOWFORD RD STE 101
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1892
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Country | US
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Telephone | 423-648-4500
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Fax | 423-648-8117
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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 | 12840
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License Number State | TN
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