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General NPI Number Information
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NPI Number | 1235210584
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Entity Type | Organization
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Legal Business Name | MILAUSKAS EYE INSTITUTE MEDICAL GROUP II INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 72057 DINAH SHORE DR SUITE D
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1791
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Country | US
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Telephone | 760-340-3937
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Fax | 760-340-1940
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Provider Business Mailing Address
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Address Line | PO BOX 845981
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City | LOS ANGELES
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State | CA
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Zip | 90084-5981
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Country | US
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Telephone | 760-340-3937
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Fax | 760-340-1940
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MR. GEORGE NEAL
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Credential |
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Telephone | 844-377-6468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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