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General NPI Number Information
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NPI Number | 1356564983
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Entity Type | Organization
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Legal Business Name | MILLS PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 355 N 21ST ST SUITE 204
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City | CAMP HILL
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State | PA
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Zip | 17011-3707
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Country | US
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Telephone | 717-303-0444
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Fax | 717-303-0108
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Provider Business Mailing Address
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Address Line | 355 N 21ST ST SUITE 204
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City | CAMP HILL
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State | PA
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Zip | 17011-3707
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Country | US
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Telephone | 717-303-0444
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Fax | 717-303-0108
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROL CHAMBERS MILLS
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Credential | PSY.D.
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Telephone | 717-303-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS008182L
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License Number State | PA
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