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General NPI Number Information
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NPI Number | 1841162989
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Entity Type | Individual
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Provider Name | KIRSTEN LYNN MACMILLAN
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 406 ROUTE 23
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City | FRANKLIN
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State | NJ
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Zip | 07416-2134
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Country | US
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Telephone | 973-657-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 406 ROUTE 23 STE 4
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City | FRANKLIN
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State | NJ
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Zip | 07416-2145
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02367500
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License Number State | NJ
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