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General NPI Number Information
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NPI Number | 1215177050
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Entity Type | Individual
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Provider Name | ATHENA MILONAS LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 450 W NYACK RD
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City | WEST NYACK
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State | NY
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Zip | 10994-1754
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Country | US
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Telephone | 845-354-2121
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Fax | 845-354-2928
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Provider Business Mailing Address
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Address Line | 321 WASHINGTON ST
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City | TAPPAN
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State | NY
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Zip | 10983-2615
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Country | US
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Telephone | 845-398-0399
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 078214
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License Number State | NY
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