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General NPI Number Information
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NPI Number | 1326207721
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Entity Type | Organization
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Legal Business Name | MILTON HOWARD CONLEY MD INC
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 1401 N PALM CANYON DR SUITE 103
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4434
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Country | US
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Telephone | 760-318-3730
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Fax | 760-318-7691
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Provider Business Mailing Address
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Address Line | PO BOX 2422
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City | PALM SPRINGS
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State | CA
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Zip | 92263-2422
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Country | US
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Telephone | 760-318-3730
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Fax | 760-318-7691
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Authorized Official
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Title or Position | OWNER
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Name | DR. MILTON HOWARD CONLEY
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Credential | MD
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Telephone | 760-318-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A69621
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License Number State | CA
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