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General NPI Number Information
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NPI Number | 1205534708
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Entity Type | Individual
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Provider Name | PORSCHA MCMILLAN
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Gender | Female
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 140 RAYLAND CIR
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City | WALTERBORO
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State | SC
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Zip | 29488-9400
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Country | US
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Telephone | 843-701-2633
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Fax |
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Provider Business Mailing Address
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Address Line | 1641 WICHMAN ST
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City | WALTERBORO
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State | SC
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Zip | 29488-3265
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Country | US
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Telephone | 830-272-8300
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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