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General NPI Number Information
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NPI Number | 1689783557
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Entity Type | Organization
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Legal Business Name | DRS. CREWS & MILLS DENTAL ASSOC PA
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 202 3RD. ST. EAST
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City | HAMPTON
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State | SC
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Zip | 29924
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Country | US
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Telephone | 803-943-2191
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Fax | 803-943-0191
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Provider Business Mailing Address
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Address Line | PO BOX 505
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City | HAMPTON
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State | SC
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Zip | 29924-0505
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Country | US
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Telephone | 803-943-2191
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Fax | 809-943-0191
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. FRANCIS ASBURY MILLS
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Credential |
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Telephone | 803-943-2191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1703
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License Number State | SC
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