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General NPI Number Information
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NPI Number | 1851518617
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Entity Type | Individual
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Provider Name | WILLIAM P MCMILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 18 LAKE ST
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City | OAK PARK
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State | IL
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Zip | 60302-2606
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Country | US
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Telephone | 708-434-0336
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Fax | 708-386-1391
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Provider Business Mailing Address
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Address Line | PO BOX 3991
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City | OAK PARK
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State | IL
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Zip | 60303-3991
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Country | US
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Telephone | 708-434-0336
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-078553
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036078553
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036078553
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License Number State | IL
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