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General NPI Number Information
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NPI Number | 1104000942
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Entity Type | Individual
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Provider Name | LAINISHA LUCELLE MCMILLER TURNER MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 12251 TAFT ST STE 302
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City | PEMBROKE PINES
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State | FL
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Zip | 33026
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Country | US
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Telephone | 954-951-0974
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Fax |
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Provider Business Mailing Address
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Address Line | 350 NW 134TH AVE APT 206
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2251
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Country | US
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Telephone | 954-536-2319
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 05606
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT11795
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License Number State | FL
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