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General NPI Number Information
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NPI Number | 1841546975
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Entity Type | Individual
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Provider Name | KATHLEEN MICHELLE MILLER NP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 610 WEST MAIN STREET EMERGENCY DEPARTMENT
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City | WILMINGTON
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State | OH
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Zip | 45177
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Country | US
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Telephone | 937-382-6611
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Fax | 513-466-8029
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Provider Business Mailing Address
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Address Line | 5265 NATORP BLVD APT 318-B
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City | MASON
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State | OH
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Zip | 45040
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Country | US
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Telephone | 740-502-7495
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.13570-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.13570
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License Number State | OH
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