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General NPI Number Information
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NPI Number | 1386025922
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Entity Type | Individual
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Provider Name | SIDNEY MILTZ M.ED., LPC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 8301 NORTH CAUSEWAY BLVD. SUITE 301
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-344-3489
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Fax |
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Provider Business Mailing Address
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Address Line | 8301 NORTH CAUSEWAY BLVD. SUITE 301
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-344-3489
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 952
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8762
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3419
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License Number State | LA
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