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General NPI Number Information
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NPI Number | 1730639063
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Entity Type | Individual
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Provider Name | ALYSSA CARIN MILLER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 3534 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34237-9026
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Country | US
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Telephone | 941-893-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-6014
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Country | US
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Telephone | 941-273-8233
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 21858
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 21858
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 21858
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11020018
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License Number State | FL
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