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General NPI Number Information
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NPI Number | 1104827864
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Entity Type | Individual
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Provider Name | JOSEPH ANDREW MILISITZ PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 1499 W PALMETTO PARK RD # 172
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City | BOCA RATON
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State | FL
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Zip | 33486-3328
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Country | US
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Telephone | 561-620-9797
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Fax | 561-620-7848
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Provider Business Mailing Address
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Address Line | 1355 W PALMETTO PARK RD # 310
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City | BOCA RATON
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State | FL
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Zip | 33486-3330
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Country | US
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Telephone | 561-620-9797
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Fax | 561-620-7848
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 2245
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License Number State | FL
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