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General NPI Number Information
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NPI Number | 1831515998
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Entity Type | Individual
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Provider Name | KRISTEN BENNETT MILLER RN, MSN
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Gender | Female
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 145 E CHEVES ST PEE DEE PUBLIC HEALTH REGION
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City | FLORENCE
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State | SC
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Zip | 29506-2526
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Country | US
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Telephone | 843-661-4830
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Fax | 843-661-4859
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Provider Business Mailing Address
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Address Line | 113 LYNDALE DR
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City | HARTSVILLE
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State | SC
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Zip | 29550-4613
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Country | US
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Telephone | 843-673-6536
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Fax | 843-661-4859
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 96128
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 96128
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 96128
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License Number State | SC
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