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General NPI Number Information
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NPI Number | 1275905440
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Entity Type | Organization
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Legal Business Name | MILLIGAN SURGICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 1919 PINNACLE POINTE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922
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Country | US
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Telephone | 865-347-2960
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Fax | 865-851-8758
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Provider Business Mailing Address
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Address Line | 1919 PINNACLE POINTE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922
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Country | US
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Telephone | 865-347-2960
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Fax | 865-851-8758
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Authorized Official
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Title or Position | MD
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Name | MR. JOHN L. MILLIGAN
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Credential | M.D.
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Telephone | 865-347-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | TN
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