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General NPI Number Information
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NPI Number | 1780660118
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Entity Type | Individual
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Provider Name | KELLI A MILLER APRN
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Gender | Female
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Dates
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Enumeration Date | 12/18/2005
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 294 N HIGHWAY 16 SUITE A
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City | DENVER
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State | NC
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Zip | 28037-8011
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Country | US
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Telephone | 704-489-2400
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Fax | 704-489-2900
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Provider Business Mailing Address
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Address Line | 4129 MOUNTAIN COVE DR
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City | CHARLOTTE
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State | NC
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Zip | 28216-7776
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Country | US
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Telephone | 704-393-3593
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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 | 201950
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License Number State | NC
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