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General NPI Number Information
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NPI Number | 1922663863
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Entity Type | Individual
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Provider Name | ASHLEY LYSLE MILLER MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 7125 STADIUM DR
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City | KALAMAZOO
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State | MI
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Zip | 49009-4943
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Country | US
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Telephone | 269-492-6575
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Fax | 269-492-6577
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Provider Business Mailing Address
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Address Line | 235 WEALTHY ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-5247
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Country | US
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Telephone | 616-840-8000
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 31006574A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201010160
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License Number State | MI
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