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General NPI Number Information
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NPI Number | 1952039430
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Entity Type | Individual
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Provider Name | DORIAN JULISSA MILLS FEBO OTL
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Gender | Female
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | URB. EL RECREO CALLE RAFAEL ROSARIO ARROYO #46
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-373-8883
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 622
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City | NAGUABO
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State | PR
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Zip | 00718-0622
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Country | US
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Telephone | 787-241-5900
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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 | 1325
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License Number State | PR
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