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General NPI Number Information
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NPI Number | 1568911410
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Entity Type | Individual
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Provider Name | AMY MILIONI OTRL
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Gender | Female
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 43443 GRAND RIVER AVE STE 200
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City | NOVI
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State | MI
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Zip | 48375-1106
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Country | US
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Telephone | 248-305-9200
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Fax | 248-305-9200
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Provider Business Mailing Address
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Address Line | 625 ENTERPRISE DR
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City | OAK BROOK
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State | IL
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Zip | 60523-8813
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Country | US
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Telephone | 630-575-6200
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Fax | 630-575-1980
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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 | 5201006998
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License Number State | MI
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