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General NPI Number Information
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NPI Number | 1265343917
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Entity Type | Individual
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Provider Name | HAROLD J MILLINER II LMT
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Gender | Male
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 8750 W CAMPUS CIR DR
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103
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Country | US
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Telephone | 574-386-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 322 E MAIN ST APT 119
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City | NILES
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State | MI
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Zip | 49120-2351
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Country | US
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Telephone | 574-386-2177
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501017004
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License Number State | MI
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