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General NPI Number Information
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NPI Number | 1366711764
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Entity Type | Organization
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Legal Business Name | FRED L MILLS CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 331 S H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-3403
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Country | US
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Telephone | 661-835-7037
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Fax | 661-835-1702
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Provider Business Mailing Address
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Address Line | 331 S H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-3403
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Country | US
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Telephone | 661-835-7037
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Fax | 661-835-1702
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRED MILLS
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Credential | D.C.
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Telephone | 661-835-7037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC133356
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License Number State | CA
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