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General NPI Number Information
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NPI Number | 1306243506
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Entity Type | Individual
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Provider Name | CHRISTOPHER MILLS PA
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Gender | Male
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 30 BRENNAN ST
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City | WATSONVILLE
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State | CA
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Zip | 95076-4303
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Country | US
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Telephone | 831-768-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 250 RIVER ST
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2750
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Country | US
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Telephone | 707-494-5864
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 52155
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License Number State | CA
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