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General NPI Number Information
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NPI Number | 1144362609
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Entity Type | Organization
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Legal Business Name | JOSEPH M MILLAN MD PA
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 1702 OSCEOLA STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32204
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Country | US
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Telephone | 904-388-6770
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Fax | 904-389-1464
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Provider Business Mailing Address
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Address Line | 1702 OSCEOLA STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32204
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Country | US
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Telephone | 904-388-6770
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Fax | 904-389-1464
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH M MILLAN
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Credential | MD
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Telephone | 904-388-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME42674
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License Number State | FL
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