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General NPI Number Information
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NPI Number | 1336724145
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Entity Type | Organization
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Legal Business Name | WILLIAM P. MCMILLER MD MPH PC
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 4909 W DIVISION ST STE 106A
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City | CHICAGO
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State | IL
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Zip | 60651-3161
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Country | US
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Telephone | 708-434-0336
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 706
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City | OAK PARK
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State | IL
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Zip | 60303-0706
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Country | US
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Telephone | 708-434-0336
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM MCMILLER
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Credential | MD
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Telephone | 708-434-0336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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