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NPI 1679070767

NPI 1679070767 : ARLEEN KAY MILLIRON LMT : SAXONBURG, PA

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General NPI Number Information
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    NPI Number           |    1679070767
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    Entity Type          |    Individual 
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    Provider Name        |    ARLEEN KAY MILLIRON LMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2018
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    Last Update Date     |    04/06/2018
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Provider Practice Location Address
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    Address Line         |    140 W MAIN ST 
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    City                 |    SAXONBURG
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    State                |    PA
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    Zip                  |    16056
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    Country              |    US
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    Telephone            |    724-816-9574
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    222 COAL HOLLOW RD 
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    City                 |    SARVER
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    State                |    PA
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    Zip                  |    16055-9718
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    Country              |    US
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    Telephone            |    724-816-9574
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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       |    011216
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    License Number State |    PA
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