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General NPI Number Information
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NPI Number | 1366622532
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Entity Type | Individual
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Provider Name | MARINA V MILSTEIN DDS, MSC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 7095 DOUGLAS BLVD SUITE A
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City | GRANITE BAY
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State | CA
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Zip | 95746
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Country | US
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Telephone | 916-677-1216
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Fax | 916-248-0533
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Provider Business Mailing Address
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Address Line | 7095 DOUGLAS BLVD SUITE A
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City | GRANITE BAY
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State | CA
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Zip | 95746
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Country | US
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Telephone | 916-677-1216
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Fax | 916-248-0533
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 46412
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License Number State | CA
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