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General NPI Number Information
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NPI Number | 1871874438
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Entity Type | Individual
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Provider Name | MEGAN MILLS PT, DPT, CERT MDT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 4129 KAHAKAHA LN
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City | KAILUA
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State | HI
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Zip | 96734-6840
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Country | US
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Telephone | 518-860-3914
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Fax |
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Provider Business Mailing Address
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Address Line | 701 HAMBURG TPKE
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City | WAYNE
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State | NJ
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Zip | 07470-2098
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01469500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4500
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13289
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 033857
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License Number State | NY
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