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General NPI Number Information
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NPI Number | 1942252093
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Entity Type | Individual
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Provider Name | MADELYN MILLER APN BC
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/09/2019
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Provider Practice Location Address
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Address Line | 2105 CLEARY AVE
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City | METAIRIE
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State | LA
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Zip | 70001-1623
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Country | US
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Telephone | 419-841-1832
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N CANAL BLVD
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City | THIBODAUX
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State | LA
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Zip | 70301-2910
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Country | US
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Telephone | 866-389-2727
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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 | AP03086
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License Number State | LA
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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 | 15101-NP
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License Number State | OH
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