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General NPI Number Information
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NPI Number | 1578578258
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Entity Type | Organization
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Legal Business Name | MARK J. MILONE, M.D., P.C.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 7710 MERCY RD #606
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City | OMAHA
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State | NE
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Zip | 68124-2372
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Country | US
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Telephone | 402-397-4144
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Fax | 402-397-1827
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Provider Business Mailing Address
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Address Line | 7710 MERCY RD #606
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City | OMAHA
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State | NE
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Zip | 68124-2372
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Country | US
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Telephone | 402-397-4144
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Fax | 402-397-1827
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Authorized Official
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Title or Position | M.D./PRESIDENT
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Name | MARK J MILONE
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Credential | M.D.
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Telephone | 402-397-4144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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