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General NPI Number Information
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NPI Number | 1336465129
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Entity Type | Individual
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Provider Name | SHERRENE DIANNE MILLS PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE SUITE 6300
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City | DENVER
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State | CO
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Zip | 80218-1216
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Country | US
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Telephone | 303-450-3690
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Fax | 303-450-3699
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2885
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License Number State | CO
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