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General NPI Number Information
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NPI Number | 1053931980
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Entity Type | Individual
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Provider Name | DAVID ALLEN MCMILLAN DO
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Gender | Male
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 1111 N 102ND CT STE 200
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City | OMAHA
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State | NE
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Zip | 68114-2194
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Country | US
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Telephone | 402-502-2747
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Fax | 402-502-2387
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Provider Business Mailing Address
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Address Line | 1111 N 102ND CT STE 200
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City | OMAHA
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State | NE
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Zip | 68114-2194
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Country | US
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Telephone | 402-502-2747
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Fax | 402-502-2387
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 3020
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 9543
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | DO-06978
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License Number State | IA
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