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General NPI Number Information
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NPI Number | 1245587039
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Entity Type | Individual
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Provider Name | AMY ELIZABETH MILTENBERGER
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Gender | Female
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 9385 W DONALD DR
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City | PEORIA
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State | AZ
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Zip | 85383-2988
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Country | US
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Telephone | 602-875-5616
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Fax | 623-227-2030
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Provider Business Mailing Address
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Address Line | 4611 E OBERLIN WAY
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City | CAVE CREEK
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State | AZ
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Zip | 85331-3618
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Country | US
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Telephone | 805-598-4714
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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 | OT 3887
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License Number State | CA
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