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General NPI Number Information
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NPI Number | 1144686072
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Entity Type | Individual
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Provider Name | JANICE MUELLER
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Gender | Female
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 1405 7TH ST S
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City | MOORHEAD
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State | MN
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Zip | 56560-3444
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Country | US
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Telephone | 281-291-2294
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 7TH ST S
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City | MOORHEAD
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State | MN
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Zip | 56560-3444
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Country | US
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Telephone | 281-291-2294
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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 | 100424
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License Number State | MN
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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 | 108
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License Number State | ND
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