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General NPI Number Information
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NPI Number | 1396423414
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Entity Type | Organization
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Legal Business Name | MILLS REHAB INC.
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 2530 NW 63RD AVE
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City | SUNRISE
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State | FL
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Zip | 33313-2205
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Country | US
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Telephone | 754-234-4779
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 NW 63RD AVE
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City | SUNRISE
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State | FL
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Zip | 33313-2205
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Country | US
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Telephone | 754-234-4779
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | VICTOR MILLS
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Credential | OTR/L
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Telephone | 407-748-3311
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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 |
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License Number State |
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