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General NPI Number Information
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NPI Number | 1215028915
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Entity Type | Individual
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Provider Name | SARAH DRIVER MILLS M.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2359 N TRIPHAMMER RD
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City | ITHACA
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State | NY
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Zip | 14850-1059
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Country | US
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Telephone | 607-257-5009
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Fax | 607-257-9985
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Provider Business Mailing Address
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Address Line | 58 DART DR
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City | ITHACA
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State | NY
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Zip | 14850-1111
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Country | US
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Telephone | 607-319-0793
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 027188
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License Number State | NY
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