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General NPI Number Information
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NPI Number | 1548711096
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Entity Type | Organization
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Legal Business Name | MILANES MD MEDICAL CORP
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 26800 CROWN VALLEY PKWY STE 475
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City | MISSION VIEJO
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State | CA
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Zip | 92691-8027
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Country | US
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Telephone | 949-522-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 26800 CROWN VALLEY PKWY STE 475
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City | MISSION VIEJO
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State | CA
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Zip | 92691-8027
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Country | US
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Telephone | 949-522-5081
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Fax |
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | ROBERT MILANES
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Credential | M.D.
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Telephone | 949-522-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A129904
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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