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General NPI Number Information
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NPI Number | 1639107055
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Entity Type | Individual
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Provider Name | MICHAEL MILMAN DC
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1191 N VERMONT AVE STE A
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City | LOS ANGELES
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State | CA
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Zip | 90029-1701
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Country | US
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Telephone | 310-422-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 N POINSETTIA PL APT 209
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City | LOS ANGELES
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State | CA
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Zip | 90046-4346
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Country | US
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Telephone | 323-876-3697
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 30154
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License Number State | CA
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