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General NPI Number Information
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NPI Number | 1306970991
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Entity Type | Individual
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Provider Name | REBECCA S MCMILLAN PT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2000 W BLUEMOUND RD
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City | WAUKESHA
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State | WI
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Zip | 53186-2787
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Country | US
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Telephone | 262-896-3446
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Fax |
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Provider Business Mailing Address
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Address Line | N87W28518 SCOTT LN
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City | HARTLAND
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State | WI
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Zip | 53029-9078
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Country | US
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Telephone | 414-217-5836
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 2451-024
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License Number State | WI
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