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General NPI Number Information
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NPI Number | 1992179741
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Entity Type | Individual
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Provider Name | MELANIE MILLER APRN- BC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 340 S WILLARD ST STE 201
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4126
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Country | US
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Telephone | 928-634-5551
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 512
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City | BONNER SPRINGS
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State | KS
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Zip | 66012-0512
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Country | US
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Telephone | 877-942-8808
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Fax | 877-791-9808
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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 | 5376881072
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License Number State | KS
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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 | 316678
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License Number State | AZ
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