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General NPI Number Information
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NPI Number | 1740173608
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Entity Type | Individual
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Provider Name | ANGELLE MARIE MILLER APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 291 S 200 W
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City | FARMINGTON
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State | UT
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Zip | 84025-2419
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Country | US
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Telephone | 225-270-9975
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Fax |
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Provider Business Mailing Address
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Address Line | 3296 E WILLOW RIDGE RD
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-5477
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Country | US
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Telephone | 225-270-9975
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 14195862-4405
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License Number State | UT
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