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NPI 1376514109

NPI 1376514109 : JENNIFER Y MILANO MA CCCA : LINDENHURST, NY

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General NPI Number Information
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    NPI Number           |    1376514109
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER Y MILANO MA CCCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2006
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    Last Update Date     |    04/14/2021
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Provider Practice Location Address
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    Address Line         |    672 NORTH WELLWOOD AVE STE #1
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    City                 |    LINDENHURST
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    State                |    NY
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    Zip                  |    11757
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    Country              |    US
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    Telephone            |    631-956-3277
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    Fax                  |    631-956-3279
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Provider Business Mailing Address
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    Address Line         |    290 CENTRAL AVE STE 116
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    City                 |    LAWRENCE
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    State                |    NY
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    Zip                  |    11559-8507
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    Country              |    US
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    Telephone            |    516-239-6400
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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        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    001610
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    001610
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    License Number State |    NY
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