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General NPI Number Information
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NPI Number | 1013722412
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Entity Type | Individual
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Provider Name | SHARON MARIE MILLS NP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2825 BRECKINRIDGE BLVD STE 160
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City | DULUTH
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State | GA
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Zip | 30096-7601
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Country | US
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Telephone | 678-400-3600
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Fax | 678-400-3603
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Provider Business Mailing Address
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Address Line | 1353 GEORGIA AVE
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City | SOPERTON
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State | GA
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Zip | 30457-2631
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Country | US
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Telephone | 478-290-5103
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN218316
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | RN218316
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License Number State | GA
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