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General NPI Number Information
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NPI Number | 1144972183
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Entity Type | Individual
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Provider Name | ALAINE ANETTE MILLER MOT/OTRL
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 18 1ST ST SE
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City | AUBURN
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State | WA
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Zip | 98002-5059
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Country | US
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Telephone | 253-336-5806
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Fax |
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Provider Business Mailing Address
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Address Line | 40899 WATERMAN RD
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City | HOMER
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State | AK
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Zip | 99603-9459
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Country | US
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Telephone | 734-846-9917
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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 | 12494821-4201
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License Number State | UT
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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 | 5201010425
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License Number State | MI
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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 | 61226338
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License Number State | WA
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