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General NPI Number Information
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NPI Number | 1225474323
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Entity Type | Organization
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Legal Business Name | MICHAEL R. MILANO MD PC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 141 AYERS CT SUITE 2C
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City | TEANECK
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State | NJ
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Zip | 07666-5160
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Country | US
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Telephone | 201-837-6553
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Fax | 201-837-6551
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Provider Business Mailing Address
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Address Line | 141 AYERS CT SUITE 2C
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City | TEANECK
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State | NJ
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Zip | 07666-5160
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Country | US
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Telephone | 201-837-6553
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Fax | 201-837-6551
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BETTY V. CARPENTER
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Credential |
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Telephone | 201-837-6553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA02375700
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License Number State | NJ
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