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General NPI Number Information
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NPI Number | 1578780516
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Entity Type | Individual
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Provider Name | ANGELO MILAZZO DDS
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1212 EAST PUTNAM AVE
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City | GREENWICH
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State | CT
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Zip | 06878
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Country | US
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Telephone | 203-698-0794
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Fax | 203-625-0546
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Provider Business Mailing Address
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Address Line | 49 HILLSIDE DRIVE
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City | GREENWICH
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State | CT
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Zip | 06830-4751
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Country | US
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Telephone | 203-869-2099
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Fax | 203-625-0546
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 06291
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License Number State | CT
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