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General NPI Number Information
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NPI Number | 1750994935
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Entity Type | Individual
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Provider Name | JORDAN MILES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 12200 RENFERT WAY STE 100
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City | AUSTIN
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State | TX
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Zip | 78758-5654
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Country | US
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Telephone | 512-451-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 604 DUNDALK BAY CV
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4605
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Country | US
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Telephone | 240-925-7155
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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 | AP1010700
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1010700
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP1010700
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | AP1010700
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License Number State | TX
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