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General NPI Number Information
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NPI Number | 1922060102
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Entity Type | Individual
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Provider Name | NICOLE E MILLS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 204 E SOUTH ST APT. #2056
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City | ORLANDO
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State | FL
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Zip | 32801-3547
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Country | US
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Telephone | 407-340-6638
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Fax | 407-523-7187
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Provider Business Mailing Address
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Address Line | 204 E SOUTH ST APT. #2056
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City | ORLANDO
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State | FL
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Zip | 32801-3547
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Country | US
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Telephone | 407-340-6638
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Fax | 407-523-7187
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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 | OT11547
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License Number State | FL
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