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General NPI Number Information
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NPI Number | 1124075585
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Entity Type | Individual
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Provider Name | ELIZABETH MILLS MS, RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 3521 SILVERSIDE RD CONCORD PLAZA QUILLEN BLDG, SUITE 2D1
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City | WILMINGTON
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State | DE
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Zip | 19810-4900
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Country | US
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Telephone | 302-484-2035
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Fax | 302-482-2587
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Provider Business Mailing Address
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Address Line | 437 W MINER ST
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City | WEST CHESTER
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State | PA
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Zip | 19382-2834
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Country | US
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Telephone | 215-546-1231
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN001410
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DN001410
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | DN001410
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License Number State | PA
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