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General NPI Number Information
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NPI Number | 1649838152
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Entity Type | Individual
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Provider Name | SPENCER MONROE MILLEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 18 MDG, KADENA AB UNIT 5268 OPC 80 BOX 5217
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City | APO
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State | AP
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Zip | 96368-5268
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Country | US
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Telephone | 312-630-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MDG, KADENA AB UNIT 5268 OPC 80 BOX 5217
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City | APO
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State | AP
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Zip | 96368-5268
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Country | US
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Telephone | 312-630-4780
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 0101271698
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License Number State | VA
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