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General NPI Number Information
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NPI Number | 1861879520
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Entity Type | Individual
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Provider Name | ZACHARY MILLS DMD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 770 FETZNER RD
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City | ROCHESTER
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State | NY
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Zip | 14626-1848
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Country | US
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Telephone | 315-396-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WOODCREST DR APT 10
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City | ROCHESTER
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State | NY
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Zip | 14625-2121
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Country | US
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Telephone | 315-396-1091
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 059310
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License Number State | NY
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