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NPI 1134131063

NPI 1134131063 : RONALD L. MILTON DDS : LIVINGSTON, LA

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General NPI Number Information
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    NPI Number           |    1134131063
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD L. MILTON DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    14088 FLORIDA BLVD 
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    City                 |    LIVINGSTON
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    State                |    LA
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    Zip                  |    70754-6307
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    Country              |    US
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    Telephone            |    225-686-7778
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    Fax                  |    225-686-7779
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1300 
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    City                 |    LIVINGSTON
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    State                |    LA
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    Zip                  |    70754-1300
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    Country              |    US
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    Telephone            |    225-686-7778
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    Fax                  |    225-686-7779
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    4437
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    License Number State |    LA
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