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General NPI Number Information
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NPI Number | 1740750991
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Entity Type | Individual
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Provider Name | MCKENZIE LEE MILLETTE LMT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 111 SW H ST # 8
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City | GRANTS PASS
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State | OR
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Zip | 97526-2505
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Country | US
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Telephone | 541-441-5890
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Fax | 541-787-6009
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Provider Business Mailing Address
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Address Line | 1251 WALKER RD
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City | GRANTS PASS
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State | OR
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Zip | 97527-5149
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Country | US
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Telephone | 541-441-9961
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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 | 24552
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License Number State | OR
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