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General NPI Number Information
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NPI Number | 1306090550
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Entity Type | Organization
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Legal Business Name | MILESTONE CENTERS INC
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 5615 CAMELIA ST
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City | PITTSBURGH
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State | PA
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Zip | 15201-2214
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Country | US
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Telephone | 412-628-5046
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Fax |
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Provider Business Mailing Address
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Address Line | 5615 CAMELIA ST.
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City | PITTSBURGH
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State | PA
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Zip | 15201
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Country | US
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Telephone | 412-628-5046
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Fax |
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Authorized Official
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Title or Position | TSS
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Name | DESIREE N BRESCIO
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Credential | B.S.
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Telephone | 412-628-5046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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