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General NPI Number Information
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NPI Number | 1215891601
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Entity Type | Individual
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Provider Name | RICHARD MILLIRON PARAMEDIC
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Gender | Male
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 117 LINCOLN ST
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City | HOGANSVILLE
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State | GA
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Zip | 30230-1335
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Country | US
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Telephone | 706-637-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 130 CULPEPPER RD
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City | ECLECTIC
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State | AL
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Zip | 36024-6061
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Country | US
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Telephone | 706-637-6648
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 8370
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License Number State | GA
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