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General NPI Number Information
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NPI Number | 1609010966
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Entity Type | Individual
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Provider Name | ANNA MILZ M.D, M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 9900 TAMARACK RD
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City | WOODBURY
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State | MN
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Zip | 55125-3609
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Country | US
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Telephone | 651-471-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 400 STINSON BLVD FL 2 FL 2, PROVIDER ENROLLMENT
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-2614
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 54963
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License Number State | MN
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