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General NPI Number Information
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NPI Number | 1720344138
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Entity Type | Organization
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Legal Business Name | GEORGE MCMILLAN, M.D. AND ASSOCIATES, P.L.L.C.
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 614 EASTERN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11225-1604
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Country | US
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Telephone | 718-773-5310
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Fax | 718-735-6304
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Provider Business Mailing Address
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Address Line | 614 EASTERN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11225-1604
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Country | US
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Telephone | 718-773-5310
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Fax | 718-735-6304
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Authorized Official
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Title or Position | MANAGING MEMBER/ PHYSICIAN
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Name | DR. GEORGE A. MCMILLAN
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Credential | M.D.
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Telephone | 718-773-5310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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