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General NPI Number Information
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NPI Number | 1801961529
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Entity Type | Individual
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Provider Name | PATRICIA ANNE MILLER MS, OTR L
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 4941 BENCHMARK CENTRE DR STE 300
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City | SWANSEA
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State | IL
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Zip | 62226-2038
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Country | US
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Telephone | 618-416-7227
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Fax | 618-416-7228
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Provider Business Mailing Address
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Address Line | 4941 BENCHMARK CENTRE DR STE 300
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City | SWANSEA
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State | IL
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Zip | 62226-2038
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Country | US
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Telephone | 618-416-7227
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Fax | 618-416-7228
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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 | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 056004907
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056.004907
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License Number State | IL
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