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General NPI Number Information
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NPI Number | 1982313292
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Entity Type | Individual
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Provider Name | NICOLE S MILLER APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 12455 E 100TH ST N STE 350
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City | OWASSO
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State | OK
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Zip | 74055-4675
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Country | US
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Telephone | 918-274-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 4444 E 41ST ST
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City | TULSA
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State | OK
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Zip | 74135-2527
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Country | US
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Telephone | 918-619-4200
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Fax | 918-619-4216
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 210680
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License Number State | OK
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