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General NPI Number Information
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NPI Number | 1003443169
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Entity Type | Individual
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Provider Name | MEGAN MILLS DO
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 07/08/2023
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Provider Practice Location Address
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Address Line | 4741 N BROADWAY ST STE B
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City | KNOXVILLE
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State | TN
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Zip | 37918-1793
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Country | US
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Telephone | 865-687-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 HAMILTON FARM LN
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City | KNOXVILLE
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State | TN
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Zip | 37932-2175
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Country | US
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Telephone | 423-202-1444
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Fax | 937-915-0322
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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 | 5248
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License Number State | TN
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