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General NPI Number Information
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NPI Number | 1386779643
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Entity Type | Organization
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Legal Business Name | NEELU S MILAK
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 111 BATA BLVD SUITE D
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City | BELCAMP
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State | MD
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Zip | 21017-1431
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Country | US
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Telephone | 410-272-1535
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Fax |
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Provider Business Mailing Address
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Address Line | 111 BATA BLVD SUITE D
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City | BELCAMP
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State | MD
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Zip | 21017-1431
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Country | US
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Telephone | 410-272-1535
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEELU MILAK
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Credential | D.D.S.
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Telephone | 410-939-3343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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