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General NPI Number Information
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NPI Number | 1932311370
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Entity Type | Individual
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Provider Name | PATRICIA ANNETTE MILLER OT
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Gender | Female
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14973 HESPERIA RD
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City | VICTORVILLE
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State | CA
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Zip | 92395-3923
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Country | US
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Telephone | 760-245-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 19003 SIESTA DR
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City | APPLE VALLEY
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State | CA
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Zip | 92307-5925
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Country | US
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Telephone | 760-946-3205
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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 | 5889
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License Number State | CA
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