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General NPI Number Information
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NPI Number | 1841367893
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Entity Type | Individual
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Provider Name | BRENDA J MCMILLIN D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 5911 HEIL AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3752
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Country | US
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Telephone | 714-377-2255
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Fax | 714-377-2256
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Provider Business Mailing Address
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Address Line | 5911 HEIL AVE STE F
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3752
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Country | US
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Telephone | 714-840-6881
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Fax | 714-840-6881
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC19547
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License Number State | CA
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