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NPI 1346457611

NPI 1346457611 : FRANK T MILLS : FREDERICKSBURG, TX

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General NPI Number Information
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    NPI Number           |    1346457611
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANK T MILLS 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    03/28/2017
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Provider Practice Location Address
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    Address Line         |    1102 W TRAVIS ST 
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    City                 |    FREDERICKSBURG
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    State                |    TX
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    Zip                  |    78624
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    Country              |    US
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    Telephone            |    830-997-3781
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    Fax                  |    830-997-3786
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Provider Business Mailing Address
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    Address Line         |    1102 W TRAVIS ST 
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    City                 |    FREDERICKSBURG
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    State                |    TX
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    Zip                  |    78624
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    Country              |    US
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    Telephone            |    830-997-3781
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    Fax                  |    830-997-3786
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. FRANK T. MILLS 
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    Credential           |    P.T.
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    Telephone            |    830-997-3781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1116580
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    License Number State |    TX
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