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NPI 1568469427

NPI 1568469427 : ARLENE J MILLAN O.T. : SAN GERMAN, PR

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General NPI Number Information
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    NPI Number           |    1568469427
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    Entity Type          |    Individual 
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    Provider Name        |    ARLENE J MILLAN O.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2005
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    Last Update Date     |    10/22/2010
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Provider Practice Location Address
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    Address Line         |    153 CALLE LUNA EDF SAN JOSE
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    City                 |    SAN GERMAN
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    State                |    PR
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    Zip                  |    00683-4332
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    Country              |    US
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    Telephone            |    787-892-4357
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    Fax                  |    787-892-4357
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Provider Business Mailing Address
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    Address Line         |    HC 1 BOX 8064 
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    City                 |    SAN GERMAN
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    State                |    PR
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    Zip                  |    00683-9713
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    Country              |    US
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    Telephone            |    787-892-4357
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    Fax                  |    787-892-4357
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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        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    503
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    License Number State |    PR
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