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General NPI Number Information
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NPI Number | 1376888073
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Entity Type | Individual
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Provider Name | AMANDA FAYE MILMO CPHT
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Gender | Female
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 2929 THOUSAND OAKS DR
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3312
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Country | US
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Telephone | 210-491-9976
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Fax |
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Provider Business Mailing Address
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Address Line | 4318 BITTERWOOD DR
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City | CONVERSE
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State | TX
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Zip | 78109-3555
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Country | US
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Telephone | 830-391-7243
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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 | 100283
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License Number State | TX
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