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General NPI Number Information
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NPI Number | 1265242234
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Entity Type | Organization
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Legal Business Name | MILLS OBS LLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 10685 PROFESSIONAL CIR STE A
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City | RENO
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State | NV
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Zip | 89521-5843
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Country | US
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Telephone | 775-322-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 10685 PROFESSIONAL CIR STE A
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City | RENO
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State | NV
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Zip | 89521-5843
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Country | US
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Telephone | 775-322-1000
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MATTHEW MILLS
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Credential |
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Telephone | 775-322-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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