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General NPI Number Information
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NPI Number | 1407988868
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Entity Type | Individual
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Provider Name | JOHN EDWARD MILKO MD
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 420 THOMSON CIR
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City | ABBEVILLE
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State | SC
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Zip | 29620-5656
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Country | US
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Telephone | 864-366-5011
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Fax | 864-459-6011
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Provider Business Mailing Address
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Address Line | 200 CORPORATE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-3870
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Country | US
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Telephone | 800-893-9698
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 200000899
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 51258
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20973
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 20973
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20973
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License Number State | SC
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