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General NPI Number Information
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NPI Number | 1346934593
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Entity Type | Individual
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Provider Name | ROBERT MILHOLLAND DMD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 697 LOUISIANA RD
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City | DYESS AFB
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State | TX
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Zip | 79607-1141
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Country | US
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Telephone | 325-696-2304
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Fax |
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Provider Business Mailing Address
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Address Line | 408 CARY ST
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City | GREENVILLE
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State | SC
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Zip | 29609-5640
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Country | US
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Telephone | 989-859-8227
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10516
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License Number State | SC
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