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General NPI Number Information
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NPI Number | 1376809152
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Entity Type | Individual
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Provider Name | ROBERT G MILLS BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 2026 N VALLEY MILLS DR
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City | WACO
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State | TX
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Zip | 76710-2561
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Country | US
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Telephone | 254-715-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 208 WHISPERING MEADOWS DR
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City | HEWITT
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State | TX
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Zip | 76643-3757
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Country | US
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Telephone | 254-715-2698
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 80532
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License Number State | TX
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