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General NPI Number Information
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NPI Number | 1396341160
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Entity Type | Individual
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Provider Name | SYDNI MILAN MCDONALD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 4849 PAULSEN ST STE 102
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City | SAVANNAH
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State | GA
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Zip | 31405-4424
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Country | US
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Telephone | 770-389-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 DOGWOOD ST
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City | BEAUFORT
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State | SC
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Zip | 29906-6830
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Country | US
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Telephone | 843-476-8082
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | RBT
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | GA
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