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General NPI Number Information
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NPI Number | 1144182338
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Entity Type | Organization
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Legal Business Name | MCC THERAPIES, LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1712 WARRICK DR
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City | ASHTABULA
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State | OH
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Zip | 44004-2255
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Country | US
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Telephone | 440-812-5071
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 WARRICK DR
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City | ASHTABULA
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State | OH
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Zip | 44004-2255
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Country | US
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Telephone | 440-812-5071
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | AMANDA MARLENE MILLS
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Credential | MOT, OTR/L
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Telephone | 440-812-5071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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