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General NPI Number Information
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NPI Number | 1487792800
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Entity Type | Organization
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Legal Business Name | SCOTT G MILO DMD PA
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 2405 NORTH COURTENAY PARKWAY #105
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4050
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Country | US
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Telephone | 321-453-2450
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Fax | 321-453-2450
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Provider Business Mailing Address
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Address Line | 2405 NORTH COURTENAY PARKWAY #105
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4050
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Country | US
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Telephone | 321-453-2450
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Fax | 321-453-2450
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Authorized Official
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Title or Position | PEDIATRIC DENTIST OWNER
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Name | DR. SCOTT G MILO
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Credential | DDS
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Telephone | 321-453-2450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN11127
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License Number State | FL
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