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NPI 1184841991

NPI 1184841991 : LINDA C MILLER OT : SALISBURY, MD

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General NPI Number Information
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    NPI Number           |    1184841991
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA C MILLER OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    PENINSULA REGIONAL MEDICAL CENTER CARROLL ST
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    City                 |    SALISBURY
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    State                |    MD
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    Zip                  |    21804
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    Country              |    US
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    Telephone            |    410-546-6400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    306 N BRADFORD ST 
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    City                 |    SEAFORD
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    State                |    DE
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    Zip                  |    19973-2402
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    Country              |    US
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    Telephone            |    302-245-8246
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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        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    05869
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    License Number State |    MD
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