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General NPI Number Information
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NPI Number | 1821158825
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Entity Type | Organization
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Legal Business Name | CRAIG W. MILLARD, D.D.S., P.C.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE SUITE 920
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-726-5830
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Fax | 312-726-7290
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE SUITE 920
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-726-5830
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Fax | 312-726-7290
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CRAIG W. MILLARD
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Credential | D.D.S.
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Telephone | 312-726-5830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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