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General NPI Number Information
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NPI Number | 1477681393
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Entity Type | Organization
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Legal Business Name | PAUL C MILLING M D A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 13221 VALLE VERDE TER
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City | POWAY
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State | CA
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Zip | 92064-1619
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Country | US
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Telephone | 760-522-4383
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Fax |
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Provider Business Mailing Address
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Address Line | 13221 VALLE VERDE TER
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City | POWAY
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State | CA
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Zip | 92064-1619
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Country | US
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Telephone | 760-522-4383
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL CHARLES MILLING
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Credential | M.D.
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Telephone | 760-522-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G33480
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License Number State | CA
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