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General NPI Number Information
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NPI Number | 1952002180
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Entity Type | Individual
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Provider Name | KRISTIN LEE MILLS
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Gender | Female
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 559 KINGS AVE
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City | MORRO BAY
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State | CA
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Zip | 93442-2618
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Country | US
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Telephone | 805-550-8603
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Fax |
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Provider Business Mailing Address
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Address Line | 1690 E GRAND AVE
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-2469
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Country | US
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Telephone | 805-474-0469
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Fax | 805-474-9436
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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