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General NPI Number Information
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NPI Number | 1679971600
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Entity Type | Individual
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Provider Name | KIMBERLY NICOLE MILLS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 5421 THE STATION BLVD SUITE B2
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City | SACHSE
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State | TX
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Zip | 75048
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Country | US
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Telephone | 469-649-9495
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Fax | 469-649-9744
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Provider Business Mailing Address
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Address Line | PO BOX 731263
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City | DALLAS
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State | TX
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Zip | 75373-1263
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Country | US
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Telephone | 214-884-4700
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Fax | 214-884-4761
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP125935
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License Number State | TX
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