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General NPI Number Information
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NPI Number | 1245111772
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Entity Type | Individual
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Provider Name | TANYA L MILBY RPT
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2050 W COUNTY HIGHWAY 30A
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-0187
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Country | US
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Telephone | 850-622-3313
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Fax | 850-622-3255
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Provider Business Mailing Address
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Address Line | 316 THIS WAY
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City | FREEPORT
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State | FL
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Zip | 32439-5427
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Country | US
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Telephone | 850-333-7201
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | RPT13476
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License Number State | FL
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