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General NPI Number Information
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NPI Number | 1215359021
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Entity Type | Individual
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Provider Name | RONALD LEE MILLS JR. LPC, LCAS-A
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Gender | Male
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 1405 CRAG BURN LN
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City | RALEIGH
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State | NC
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Zip | 27604-6907
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Country | US
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Telephone | 919-368-3231
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 CRAG BURN LN
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City | RALEIGH
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State | NC
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Zip | 27604-6907
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Country | US
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Telephone | 919-368-3231
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3020-A
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8464
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License Number State | NC
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