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NPI 1144004318

NPI 1144004318 : CAROLINE MILLER : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1144004318
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    Entity Type          |    Individual 
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    Provider Name        |    CAROLINE MILLER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/21/2023
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    Last Update Date     |    08/24/2023
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Provider Practice Location Address
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    Address Line         |    494 E ILLIANA ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-5415
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    Country              |    US
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    Telephone            |    407-877-0029
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1439 CARRINGTON CT 
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    City                 |    WINTER SPRINGS
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    State                |    FL
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    Zip                  |    32708-6134
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    Country              |    US
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    Telephone            |    727-431-2559
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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