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General NPI Number Information
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NPI Number | 1538782008
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Entity Type | Organization
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Legal Business Name | ELIZABETH MILANO, LCSW PLLC
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 579 TREE SIDE LN
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City | PONTE VEDRA
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State | FL
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Zip | 32081-0027
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Country | US
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Telephone | 904-345-0548
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 NW 79TH AVE SUITE 245 #1394
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City | MIAMI
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State | FL
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Zip | 33166
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Country | US
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Telephone | 904-345-0548
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH MILANO
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Credential |
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Telephone | 904-345-0548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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