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General NPI Number Information
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NPI Number | 1124164413
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Entity Type | Individual
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Provider Name | SUSAN MILLER OTR, CHT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 5800 COLONIAL DR 400
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City | MARGATE
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State | FL
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Zip | 33063-5682
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Country | US
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Telephone | 954-881-0890
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Fax | 954-979-3608
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Provider Business Mailing Address
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Address Line | 2801 NE 40TH ST
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-8457
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Country | US
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Telephone | 954-881-0890
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Fax | 954-567-2619
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT2755
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License Number State | FL
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