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General NPI Number Information
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NPI Number | 1871200865
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Entity Type | Individual
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Provider Name | PAIGE MILLET BIBA OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 2901 JACKSON DR
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City | WOODRIDGE
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State | IL
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Zip | 60517-1032
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Country | US
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Telephone | 630-795-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 4511 KINGSTON AVE
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City | LISLE
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State | IL
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Zip | 60532-1324
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Country | US
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Telephone | 630-329-7244
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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 | 056.013728
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License Number State | IL
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