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General NPI Number Information
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NPI Number | 1518982594
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Entity Type | Individual
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Provider Name | JUAN CARLOS MILLON MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 300 NW 70TH AVE SUITE 107
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City | PLANTATION
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State | FL
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Zip | 33317-2384
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Country | US
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Telephone | 954-581-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 300 NW 70TH AVE STE 107
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City | PLANTATION
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State | FL
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Zip | 33317-2360
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Country | US
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Telephone | 305-975-5442
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 95037
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L 9813
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License Number State | TX
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