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General NPI Number Information
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NPI Number | 1700085859
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Entity Type | Individual
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Provider Name | ALICIA E MILLS MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1925 WEST HIGHWAY 85 SOUTH TEXAS FAMILY RESIDENTIAL CENTER
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City | DILLEY
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State | TX
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Zip | 78017
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Country | US
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Telephone | 830-378-6670
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Fax | 830-378-6593
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Provider Business Mailing Address
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Address Line | 3066 E COMMERCE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78220-1013
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Country | US
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Telephone | 210-233-7000
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Fax | 210-625-5689
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.089897
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License Number State | OH
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