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General NPI Number Information
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NPI Number | 1760654297
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Entity Type | Organization
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Legal Business Name | CRAIG J MILHOUSE MD INC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1110 E CHAPMAN AVE SUITE 101
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City | ORANGE
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State | CA
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Zip | 92866-2139
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Country | US
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Telephone | 714-532-7272
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Fax | 714-532-7275
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Provider Business Mailing Address
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Address Line | 1110 E CHAPMAN AVE SUITE 101
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City | ORANGE
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State | CA
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Zip | 92866-2139
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Country | US
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Telephone | 714-532-7272
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Fax | 714-532-7275
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG J MILHOUSE
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Credential | MD
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Telephone | 714-532-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | G45457
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G45457
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License Number State | CA
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