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General NPI Number Information
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NPI Number | 1649205618
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Entity Type | Organization
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Legal Business Name | MILFORD FAMILY PHYSICIANS, LLP
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 201 S MAIN STREET
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City | MILFORD
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State | IN
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Zip | 46542-0128
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Country | US
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Telephone | 574-658-4142
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Fax | 574-658-3160
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | MILFORD
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State | IN
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Zip | 46542-0128
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Country | US
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Telephone | 574-658-4142
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Fax | 574-658-3160
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Authorized Official
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Title or Position | PARTNER
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Name | JOHN M DICK
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Credential | M.D.
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Telephone | 574-658-4142
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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 |
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License Number State |
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