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NPI 1508351545

NPI 1508351545 : ALLYSON HILLARY MILMAN DDS : MARIPOSA, CA

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General NPI Number Information
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    NPI Number           |    1508351545
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    Entity Type          |    Individual 
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    Provider Name        |    ALLYSON HILLARY MILMAN DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2018
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    Last Update Date     |    06/22/2018
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Provider Practice Location Address
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    Address Line         |    5371 HIGHWAY 49 N 
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    City                 |    MARIPOSA
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    State                |    CA
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    Zip                  |    95338-9503
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    Country              |    US
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    Telephone            |    209-742-7788
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5371 HIGHWAY 49 N 
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    City                 |    MARIPOSA
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    State                |    CA
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    Zip                  |    95338-9503
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    Country              |    US
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    Telephone            |    209-742-3985
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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       |    102584
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    License Number State |    CA
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