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General NPI Number Information
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NPI Number | 1093776981
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH MCMILLAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 1427 CLARKVIEW RD STE 300E
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City | BALTIMORE
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State | MD
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Zip | 21209-2100
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Country | US
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Telephone | 410-296-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 5209 LAKE WASHINGTON BLVD NE SUITE 115
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City | KIRKLAND
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State | WA
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Zip | 98033-7355
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Country | US
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Telephone | 425-822-0300
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Fax | 425-822-4999
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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