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NPI 1780328922

NPI 1780328922 : ALMEDA MCMILLAN : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1780328922
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    Entity Type          |    Individual 
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    Provider Name        |    ALMEDA MCMILLAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/25/2022
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    Last Update Date     |    04/25/2022
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Provider Practice Location Address
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    Address Line         |    690 N REILLY RD 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28303-5724
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    Country              |    US
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    Telephone            |    910-527-3275
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    941 CRESCENT COMMONS WAY APT 207 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28314-2389
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    Country              |    US
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    Telephone            |    910-527-3275
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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