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NPI 1134148406

NPI 1134148406 : NEIL ELIOT MILLIKIN DDS : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1134148406
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    Entity Type          |    Individual 
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    Provider Name        |    NEIL ELIOT MILLIKIN DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/18/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3720 GOSFORD RD STE C 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-7695
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    Country              |    US
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    Telephone            |    661-831-9024
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1509 HAZELMERE CT 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-4934
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    Country              |    US
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    Telephone            |    661-665-1585
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    30439
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    License Number State |    CA
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