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General NPI Number Information
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NPI Number | 1770566283
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Entity Type | Individual
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Provider Name | GARY M MILLARD DO
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 70 S CLEVELAND AVE
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City | WESTERVILLE
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State | OH
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Zip | 43081-1397
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Country | US
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Telephone | 614-890-6555
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Fax | 614-823-8881
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Provider Business Mailing Address
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Address Line | 70 S CLEVELAND AVE
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City | WESTERVILLE
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State | OH
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Zip | 43081-1397
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Country | US
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Telephone | 614-890-6555
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Fax | 614-823-8881
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 34007634
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 34.007634
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License Number State | OH
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