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General NPI Number Information
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NPI Number | 1457785727
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Entity Type | Individual
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Provider Name | CHANTAL MILCAREK M.ED., LPES
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Gender | Female
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 215 E BAY ST STE 500J
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City | CHARLESTON
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State | SC
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Zip | 29401-2638
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Country | US
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Telephone | 843-242-8428
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Fax | 843-410-5692
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Provider Business Mailing Address
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Address Line | 3 LINKSIDE CT
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City | ISLE OF PALMS
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State | SC
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Zip | 29451-2831
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Country | US
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Telephone | 843-242-8428
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Fax | 843-410-5692
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4603
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License Number State | SC
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