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General NPI Number Information
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NPI Number | 1366841256
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Entity Type | Individual
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Provider Name | JASON MILLS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 6003 COUNTY ROAD 1440
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City | LUBBOCK
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State | TX
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Zip | 79407-5793
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Country | US
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Telephone | 806-787-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 6003 COUNTY ROAD 1440
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City | LUBBOCK
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State | TX
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Zip | 79407-5793
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Country | US
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Telephone | 806-787-9977
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 39946
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 39946
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License Number State | TX
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