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General NPI Number Information
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NPI Number | 1639130602
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Entity Type | Individual
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Provider Name | JANETE M MILLS MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 1144A N. ROAD STREET
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City | ELIZABETH CITY
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State | VA
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Zip | 27909
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Country | US
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Telephone | 252-384-4122
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Fax | 252-384-4220
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Provider Business Mailing Address
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Address Line | 9568 KINGS CHARTER DR SUITE 202
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City | ASHLAND
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State | VA
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Zip | 23005-0078
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Country | US
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Telephone | 804-266-8717
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Fax | 804-266-5677
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | C10008594
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 0101054594
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2013-00861
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License Number State | NC
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