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General NPI Number Information
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NPI Number | 1649635723
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Entity Type | Individual
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Provider Name | DARREN MILLS N.D., L.M.T., C.P.T
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Gender | Male
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 117 S. HUBBARDS LN. STE. 98
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-410-1270
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Fax |
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Provider Business Mailing Address
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Address Line | 117 S HUBBARDS LN STE 98
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City | LOUISVILLE
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State | KY
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Zip | 40207-3900
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Country | US
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Telephone | 502-410-1270
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | BMTMTH00216698
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License Number State | KY
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