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General NPI Number Information
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NPI Number | 1104694348
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Entity Type | Individual
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Provider Name | MR. DANIEL MILLS
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Gender | Male
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 586 EASTON TURNPIKE
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City | LAKE ARIEL
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State | PA
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Zip | 18436-1843
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Country | US
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Telephone | 272-313-0149
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Fax | 272-313-0147
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Provider Business Mailing Address
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Address Line | 586 EASTON TURNPIKE
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City | LAKE ARIEL
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State | PA
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Zip | 18436
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Country | US
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Telephone | 272-313-0149
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Fax | 272-313-0147
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 70333601
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License Number State | PA
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