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General NPI Number Information
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NPI Number | 1497759138
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Entity Type | Individual
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Provider Name | JOSEPH A. MILUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 9340 CEDAR CENTER WAY
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City | LOUISVILLE
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State | KY
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Zip | 40291-4522
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Country | US
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Telephone | 502-239-8431
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Fax | 502-239-8399
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Provider Business Mailing Address
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Address Line | PO BOX 950245
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City | LOUISVILLE
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State | KY
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Zip | 40295-0245
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Country | US
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Telephone | 502-272-5100
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Fax | 502-272-5116
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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 | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 30409
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30409
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License Number State | KY
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