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General NPI Number Information
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NPI Number | 1528308954
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Entity Type | Individual
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Provider Name | CARRIE MCMILLIN N.D.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 12911 120TH AVE NE STE E50
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City | KIRKLAND
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State | WA
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Zip | 98034-3046
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Country | US
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Telephone | 206-705-3012
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Fax | 800-239-9017
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Provider Business Mailing Address
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Address Line | 21825 PINTO LN
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City | LEAVENWORTH
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State | WA
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Zip | 98826-9759
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Country | US
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Telephone |
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Fax | 800-239-9017
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NT60326127
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License Number State | WA
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