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General NPI Number Information
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NPI Number | 1386275683
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Entity Type | Individual
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Provider Name | AMY RENEE MILLER OTRL
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Gender | Female
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3394 E JOLLY RD STE C
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City | LANSING
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State | MI
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Zip | 48910-8595
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Country | US
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Telephone | 517-253-5160
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Fax | 517-253-5161
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Provider Business Mailing Address
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Address Line | 320 S SANDSTONE RD
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City | JACKSON
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State | MI
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Zip | 49201-8925
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Country | US
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Telephone | 989-475-1601
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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 | 5201010492
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License Number State | MI
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