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General NPI Number Information
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NPI Number | 1619387966
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Entity Type | Individual
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Provider Name | COURTNEY ANDONIA MCMILLIAN CNM
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Gender | Female
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 3225 AVIATION AVE SUITE 700
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City | MIAMI
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State | FL
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Zip | 33133-4741
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Country | US
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Telephone | 561-416-0103
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Fax | 561-416-9896
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Provider Business Mailing Address
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Address Line | 660 GLADES RD SUITE 420
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City | BOCA RATON
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State | FL
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Zip | 33431-6465
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Country | US
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Telephone | 561-416-0103
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Fax | 561-416-9896
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | ARNP9234857
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 542129332
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License Number State | FL
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