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General NPI Number Information
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NPI Number | 1467491530
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Entity Type | Individual
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Provider Name | DAVID KENT MILLWARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3320 WAKE FOREST RD SUITE 201
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City | RALEIGH
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State | NC
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Zip | 27609-7300
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Country | US
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Telephone | 919-875-4700
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Fax | 919-872-6113
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Provider Business Mailing Address
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Address Line | 3320 WAKE FOREST RD SUITE 201
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City | RALEIGH
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State | NC
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Zip | 27609-7300
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Country | US
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Telephone | 919-875-4700
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Fax | 919-872-6113
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 16528
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License Number State | NC
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