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General NPI Number Information
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NPI Number | 1538509922
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Entity Type | Individual
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Provider Name | ALINE JODY MILFORT PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 17030 NANES DR STE 201
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City | HOUSTON
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State | TX
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Zip | 77090-2504
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Country | US
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Telephone | 281-415-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 3148 SW 13TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-2713
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Country | US
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Telephone | 954-297-4570
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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