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General NPI Number Information
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NPI Number | 1770632713
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Entity Type | Individual
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Provider Name | JENNIFER JOYCE MILLS PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 6455 S YOSEMITE ST 6TH FLOOR
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-5139
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Country | US
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Telephone | 303-718-2934
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Fax | 877-839-3893
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Provider Business Mailing Address
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Address Line | 9100 VANCE ST APT 331
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City | WESTMINSTER
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State | CO
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Zip | 80021-7021
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Country | US
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Telephone | 303-887-8180
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Fax | 877-839-3893
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1924
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License Number State | CO
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