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General NPI Number Information
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NPI Number | 1578560132
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Entity Type | Individual
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Provider Name | ELLEN BLOCK MILSTONE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2416 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3248
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Country | US
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Telephone | 203-288-1142
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Fax | 203-288-5086
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Provider Business Mailing Address
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Address Line | 2416 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3248
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Country | US
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Telephone | 203-288-1142
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Fax | 203-288-5086
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 017267
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 017267
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 017267
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 017267
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License Number State | CT
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