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General NPI Number Information
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NPI Number | 1447538319
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Entity Type | Individual
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Provider Name | MILA BELGRADE DMD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 2985 NAVAJO ST.
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598
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Country | US
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Telephone | 914-243-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 163 HILBURN RD
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City | SCARSDALE
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State | NY
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Zip | 10583-6134
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 055535-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 055535-1
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License Number State | NY
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