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General NPI Number Information
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NPI Number | 1467454637
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Entity Type | Individual
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Provider Name | RODNEY D MCMILLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 1 AUDUBON PLAZA DR
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City | LOUISVILLE
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State | KY
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Zip | 40217
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Country | US
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Telephone | 502-777-9961
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Fax | 502-379-8791
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Provider Business Mailing Address
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Address Line | 2100 GARDINER LN STE 207
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City | LOUISVILLE
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State | KY
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Zip | 40205-2948
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Country | US
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Telephone | 502-777-9961
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Fax | 502-379-8791
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 18435
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License Number State | KY
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