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General NPI Number Information
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NPI Number | 1588966618
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Entity Type | Organization
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Legal Business Name | MILANAK FAMILY VISION CENTER, L.L.C.
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 6031 6TH AVE
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City | ALTOONA
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State | PA
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Zip | 16602-1001
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Country | US
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Telephone | 814-201-2423
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Fax | 814-201-2444
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Provider Business Mailing Address
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Address Line | 6031 6TH AVE
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City | ALTOONA
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State | PA
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Zip | 16602-1001
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Country | US
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Telephone | 814-201-2423
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Fax | 814-201-2444
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JULIA DAWN MILANAK
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Credential | O.D.
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Telephone | 814-201-2423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000688
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License Number State | PA
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