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General NPI Number Information
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NPI Number | 1740349430
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Entity Type | Individual
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Provider Name | JOANNIE JEANETTE MILLER MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 281 W 24TH ST STE 134
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City | YUMA
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State | AZ
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Zip | 85364-8564
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Country | US
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Telephone | 928-919-7080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 298
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City | LAKESIDE
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State | OR
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Zip | 97449-0298
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Country | US
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Telephone | 541-419-2645
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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 | 200250124NP FNP PP
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License Number State | OR
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