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General NPI Number Information
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NPI Number | 1841653334
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Entity Type | Individual
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Provider Name | CARISSA MARIE MILLER FNP
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Gender | Female
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1021 DARRINGTON DR STE 101
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City | CARY
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State | NC
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Zip | 27513-8158
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Country | US
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Telephone | 919-852-3999
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Fax | 919-378-9114
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Provider Business Mailing Address
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Address Line | 137 CREAMERY RD
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-5271
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Country | US
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Telephone |
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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 | 341577
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7238
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355400
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 643357
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95010836
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5019781
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License Number State | NC
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