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General NPI Number Information
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NPI Number | 1760484158
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Entity Type | Individual
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Provider Name | JOSEPH C. MILLIN JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 1219 S EAST AVE SUITE 208
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City | SARASOTA
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State | FL
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Zip | 34239-2340
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Country | US
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Telephone | 941-363-9444
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Fax | 941-363-9349
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Provider Business Mailing Address
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Address Line | 1219 S EAST AVE 208
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City | SARASOTA
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State | FL
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Zip | 34239-2340
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Country | US
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Telephone | 941-363-9444
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Fax | 941-363-9349
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS6577
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | OS6577
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License Number State | FL
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