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General NPI Number Information
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NPI Number | 1861028771
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Entity Type | Individual
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Provider Name | TRACIA MILLER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 3651 E BASELINE RD STE 230
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City | GILBERT
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State | AZ
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Zip | 85234-5450
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Country | US
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Telephone | 888-880-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 508 MAIS DR
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City | GEORGETOWN
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State | TX
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Zip | 78626-3050
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Country | US
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Telephone | 512-247-8598
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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 | APRN11034547
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License Number State | FL
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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 | 32457
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License Number State | TX
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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 | 71015671A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2024032091
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License Number State | MO
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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 | 0036655
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License Number State | OH
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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 | AP143993
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License Number State | TX
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