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General NPI Number Information
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NPI Number | 1972377307
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Entity Type | Individual
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Provider Name | CHELSEY MILLER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 1575 W 7000 S FL 1
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City | WEST JORDAN
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State | UT
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Zip | 84084-3431
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Country | US
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Telephone | 801-569-9133
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Fax | 801-569-9103
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Provider Business Mailing Address
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Address Line | 329 E MAIN ST
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City | FAIRFIELD
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State | UT
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Zip | 84013-1302
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Country | US
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Telephone | 801-367-1179
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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 | 10643473-4405
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License Number State | UT
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