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General NPI Number Information
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NPI Number | 1326464777
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Entity Type | Individual
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Provider Name | EUGENE MCMILLEN
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Gender | Male
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 30207 FRANKFORD SCHOOL RD
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City | FRANKFORD
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State | DE
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Zip | 19945-2616
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Country | US
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Telephone | 302-732-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 31 HOSIER ST
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City | SELBYVILLE
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State | DE
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Zip | 19975-9300
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Country | US
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Telephone | 302-436-1000
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | L1-0028600
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License Number State | DE
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