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General NPI Number Information
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NPI Number | 1902931116
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Entity Type | Individual
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Provider Name | VIRGINIA E. MILLS C.A.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 41 SPRING LN
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3550
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Country | US
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Telephone | 908-852-2260
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Fax | 908-852-2260
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Provider Business Mailing Address
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Address Line | 41 SPRING LN
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3550
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Country | US
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Telephone | 908-852-2260
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Fax | 908-852-2260
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00032800
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License Number State | NJ
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