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General NPI Number Information
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NPI Number | 1730738543
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Entity Type | Individual
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Provider Name | VALORIE L MCMILLAN NP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 1205 PROVIDENT DR UNIT A
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City | WARSAW
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State | IN
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Zip | 46580-3265
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Country | US
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Telephone | 574-269-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 S PAXTON DR
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City | WARSAW
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State | IN
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Zip | 46580-6421
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Country | US
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Telephone | 217-840-7059
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71012486A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 41273472
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28224485A
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License Number State | IN
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