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General NPI Number Information
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NPI Number | 1497799001
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Entity Type | Organization
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Legal Business Name | MILLIANO AUDIOLOGY LLC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 4570 PECAN DR STE A
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City | PADUCAH
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State | KY
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Zip | 42001-6717
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Country | US
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Telephone | 270-554-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 4570 PECAN DR STE A
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City | PADUCAH
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State | KY
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Zip | 42001-6717
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Country | US
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Telephone | 270-554-6000
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Fax | 270-554-6995
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY JOSEPH MILLIANO SR.
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Credential | AU.D.
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Telephone | 270-554-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | KY-0245
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | KY-0632
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License Number State | KY
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