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General NPI Number Information
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NPI Number | 1114135514
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Entity Type | Individual
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Provider Name | PATRICIA ANN MCMILLIAN
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 325 PAGE RD
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City | PINEHURST
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State | NC
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Zip | 28374-8751
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Country | US
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Telephone | 910-215-5533
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Fax | 910-215-5523
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Provider Business Mailing Address
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Address Line | PO BOX 3217
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City | PINEHURST
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State | NC
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Zip | 28374-3217
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Country | US
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Telephone | 910-215-5533
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Fax | 910-215-5523
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HC2517
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License Number State | NC
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