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General NPI Number Information
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NPI Number | 1245325000
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Entity Type | Organization
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Legal Business Name | ROBERT C MILLS JR OD PA
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/28/2018
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Provider Practice Location Address
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Address Line | 316 S MCCASKEY RD
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2150
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Country | US
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Telephone | 252-792-2250
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Fax | 252-792-6293
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Provider Business Mailing Address
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Address Line | 316 S MCCASKEY RD
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2150
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Country | US
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Telephone | 252-792-2250
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Fax | 252-792-6293
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT C. MILLS JR.
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Credential | OD
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Telephone | 252-792-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | NC1337
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License Number State | NC
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