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General NPI Number Information
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NPI Number | 1760577472
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Entity Type | Individual
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Provider Name | GLENDA JO MILLER RN
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 260 S KIPLING ST
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City | LAKEWOOD
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State | CO
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Zip | 80226-1086
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Country | US
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Telephone | 303-239-7024
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Fax | 303-239-7088
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Provider Business Mailing Address
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Address Line | 6705 S SANTA FE DR #47
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City | LITTLETON
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State | CO
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Zip | 80120-2937
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Country | US
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Telephone | 720-283-3052
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Fax | 720-283-3052
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 36601
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License Number State | CO
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