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Individual
MR. RICK LEE MILEN
Active
Individual
MR. RICK LEE MILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, PTA
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO02528
PA
224P00000X
Prosthetist
Primary
CPO02528
PA
225200000X
Physical Therapy Assistant
TE001848L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1640852
HIGHMARK
PA
01
—
39HB05
CAPITAL BLUE CROSS
PA
Enumeration date
07/01/2005
Last updated
10/14/2008
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