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General NPI Number Information
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NPI Number | 1043380777
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Entity Type | Individual
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Provider Name | LESLIE CAROL MILLS RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1303 DANTIGNAC ST STE 2600
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City | AUGUSTA
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State | GA
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Zip | 30901-2796
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Country | US
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Telephone | 706-854-2500
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Fax | 706-854-2559
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Provider Business Mailing Address
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Address Line | 411 TOWN PARK BLVD
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City | EVANS
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State | GA
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Zip | 30809-3487
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Country | US
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Telephone | 706-854-2500
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Fax | 706-854-2559
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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 | RN077228
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN077228
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | GAA-NP004358
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License Number State | GA
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