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General NPI Number Information
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NPI Number | 1801101845
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Entity Type | Individual
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Provider Name | NANCY J. MILLER-HOUCK CNS
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Gender | Female
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Dates
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Enumeration Date | 08/14/2010
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 566 W MARION AVE
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City | PUNTA GORDA
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State | FL
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Zip | 33950-4439
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Country | US
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Telephone | 716-969-3829
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 510217
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City | PUNTA GORDA
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State | FL
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Zip | 33951-0217
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Country | US
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Telephone | 716-969-3829
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Fax | 941-833-0547
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | CNS9272624
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License Number State | FL
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