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NPI 1487953246

NPI 1487953246 : THOMAS COOKE MILLS MD : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1487953246
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS COOKE MILLS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/19/2011
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    Last Update Date     |    03/19/2011
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Provider Practice Location Address
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    Address Line         |    814 SAINT JAMES ST 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15232-2113
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    Country              |    US
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    Telephone            |    412-578-0504
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    814 SAINT JAMES ST 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15232-2113
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    Country              |    US
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    Telephone            |    412-578-0504
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    G47892
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD425612
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    License Number State |    PA
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