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General NPI Number Information
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NPI Number | 1457529562
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Entity Type | Individual
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Provider Name | HENRY PAUL MCMILLAN P.T.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 10205 US HIGHWAY 15 501 UNIT 24
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5180
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Country | US
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Telephone | 910-704-5430
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Fax | 910-740-5431
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Provider Business Mailing Address
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Address Line | 10205 US HIGHWAY 15 501 UNIT 24
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5180
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Country | US
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Telephone | 910-704-5430
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Fax | 910-740-5431
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6603
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6603
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License Number State | NC
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