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General NPI Number Information
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NPI Number | 1205118148
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Entity Type | Individual
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Provider Name | DAVID MILSTEIN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 11831 NW 25TH ST
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City | PLANTATION
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State | FL
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Zip | 33323-1701
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Country | US
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Telephone | 954-817-6753
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Fax | 954-916-2403
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Provider Business Mailing Address
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Address Line | 11831 NW 25TH ST
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City | PLANTATION
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State | FL
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Zip | 33323-1701
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Country | US
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Telephone | 954-817-6753
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Fax | 954-916-2403
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | PS 18470
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License Number State | FL
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