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General NPI Number Information
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NPI Number | 1720001621
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Entity Type | Individual
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Provider Name | RICHARD THOMAS MILLS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 701 GROVE RD
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City | GREENVILLE
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State | SC
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Zip | 29605-5611
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Country | US
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Telephone | 864-455-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 103 CHARTER OAK DR
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City | ANDERSON
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State | SC
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Zip | 29625-6365
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Country | US
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Telephone | 864-287-1088
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL27269
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 27269
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License Number State | SC
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