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General NPI Number Information
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NPI Number | 1023322328
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Entity Type | Individual
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Provider Name | SAM S MCMILLAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 7600 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77074-4302
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Country | US
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Telephone | 713-456-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 DETERING ST
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City | HOUSTON
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State | TX
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Zip | 77007-8212
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Country | US
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Telephone | 314-518-5361
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2010020865
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q5224
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License Number State | TX
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