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General NPI Number Information
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NPI Number | 1801297387
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Entity Type | Organization
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Legal Business Name | MELODIE MILLER ARNP CONSULTING
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 1409 KINGSLEY AVE SUITE 9E
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City | ORANGE PARK
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State | FL
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Zip | 32073-4537
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Country | US
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Telephone | 904-215-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 564 GOLDEN LINKS DR
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City | ORANGE PARK
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State | FL
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Zip | 32073-2234
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Country | US
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Telephone | 904-742-0800
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | MELODIE MILLER
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Credential |
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Telephone | 904-742-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN9294028
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License Number State | FL
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