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General NPI Number Information
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NPI Number | 1013747799
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Entity Type | Individual
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Provider Name | MINDY E MILLINGTON M.ED., LMT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1010 N TENNESSEE ST STE 214
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City | CARTERSVILLE
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State | GA
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Zip | 30120-8528
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Country | US
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Telephone | 470-227-1669
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Fax | 305-890-2721
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Provider Business Mailing Address
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Address Line | 1010 N TENNESSEE ST STE 214
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City | CARTERSVILLE
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State | GA
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Zip | 30120-8528
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Country | US
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Telephone | 470-227-1669
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Fax | 305-890-2721
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT003309
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License Number State | GA
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