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General NPI Number Information
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NPI Number | 1851334577
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Entity Type | Individual
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Provider Name | ANGELA J. MILLER CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | 51 N 39TH ST 1 CUPP BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2640
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Country | US
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Telephone | 215-662-3340
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Fax |
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Provider Business Mailing Address
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Address Line | 51 N 39TH ST 1 CUPP BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2640
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Country | US
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Telephone | 215-662-3340
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG0000340
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP001562C
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License Number State | PA
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