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General NPI Number Information
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NPI Number | 1598692279
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Entity Type | Individual
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Provider Name | JACKSON MILLS DPT
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Gender | Male
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 12570 OLD SEWARD HWY STE 202
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City | ANCHORAGE
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State | AK
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Zip | 99515-3532
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Country | US
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Telephone | 907-222-2886
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Fax |
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Provider Business Mailing Address
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Address Line | 4131 W 72ND AVE
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City | ANCHORAGE
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State | AK
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Zip | 99502-2801
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Country | US
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Telephone | 907-602-5845
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 254210
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License Number State | AK
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