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General NPI Number Information
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NPI Number | 1609918291
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Entity Type | Organization
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Legal Business Name | MILNE MEDICAL CENTER
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 2110 PINTO LANE
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City | LAS VEGAS
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State | NV
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Zip | 89106
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Country | US
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Telephone | 702-385-1393
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Fax | 702-385-4170
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Provider Business Mailing Address
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Address Line | 2110 PINTO LANE
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City | LAS VEGAS
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State | NV
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Zip | 89106
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Country | US
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Telephone | 702-385-1393
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Fax | 702-385-4170
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. JULIE ANN MILNE
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Credential |
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Telephone | 702-385-1393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C40503
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F0586
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4289
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License Number State | NV
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