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General NPI Number Information
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NPI Number | 1710259205
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Entity Type | Individual
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Provider Name | BRANDON MICHAEL MILLER OT
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Gender | Male
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 9505 NORTHPOINTE BLVD
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City | SPRING
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State | TX
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Zip | 77379-3799
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Country | US
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Telephone | 877-381-2435
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Fax |
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Provider Business Mailing Address
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Address Line | 16719 SIR WILLIAM DR
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City | SPRING
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State | TX
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Zip | 77379-7433
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Country | US
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Telephone | 713-820-2365
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 111852
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License Number State | TX
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