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General NPI Number Information
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NPI Number | 1841460714
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Entity Type | Individual
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Provider Name | ANNETTE CLAIR MILLS CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 111 N BAILEY ST
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City | PRYOR
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State | OK
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Zip | 74361-4201
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Country | US
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Telephone | 918-824-7791
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Fax | 918-824-6316
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Provider Business Mailing Address
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Address Line | 18780 S HICKORY PL
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City | CLAREMORE
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State | OK
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Zip | 74019-0378
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Country | US
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Telephone | 918-640-1652
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 731884
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R0088519
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License Number State | OK
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