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General NPI Number Information
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NPI Number | 1811826266
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Entity Type | Individual
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Provider Name | JESSICA MILLER
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Gender | Female
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 4700 ALLIANCE BLVD
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City | PLANO
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State | TX
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Zip | 75093-5323
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Country | US
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Telephone | 469-814-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 14101 GOLDEN BRIDGE DR
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City | PILOT POINT
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State | TX
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Zip | 76258-2134
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Country | US
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Telephone | 269-386-1015
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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 | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | 938223
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License Number State | TX
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