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General NPI Number Information
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NPI Number | 1427987684
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Entity Type | Individual
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Provider Name | RICKI MCMILLIN LMT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1754 COMMERCE CENTER BLVD
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City | FAIRBORN
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State | OH
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Zip | 45324-6358
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Country | US
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Telephone | 937-414-9454
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Fax |
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Provider Business Mailing Address
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Address Line | 4736 SULLIVAN RD
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City | SPRINGFIELD
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State | OH
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Zip | 45502-8189
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Country | US
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Telephone | 937-416-2461
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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 | 33.026506
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License Number State | OH
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