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NPI 1699440172

NPI 1699440172 : ERIKA D. MILLER OTD, OTR/L : NORMAN, OK

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General NPI Number Information
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    NPI Number           |    1699440172
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA D. MILLER OTD, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/16/2021
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    Last Update Date     |    09/14/2023
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Provider Practice Location Address
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    Address Line         |    THERAFUN LLC 1201 W. BOYD ST.
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-4801
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    Country              |    US
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    Telephone            |    405-366-7898
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    Fax                  |    405-366-0010
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Provider Business Mailing Address
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    Address Line         |    523 N. MONROE 
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    City                 |    BLANCHARD
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    State                |    OK
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    Zip                  |    73010-6011
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    Country              |    US
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    Telephone            |    602-769-3475
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    Fax                  |    405-366-0010
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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       |    OTH-008583
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    5744
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    License Number State |    OK
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Taxonomy #3
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    5744
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    License Number State |    OK
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