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General NPI Number Information
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NPI Number | 1649412958
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Entity Type | Organization
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Legal Business Name | DAVID MILBAUER MD PA
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 6894 LAKE WORTH RD STE 104
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City | LAKE WORTH
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State | FL
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Zip | 33467
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Country | US
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Telephone | 561-642-2800
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Fax | 561-963-1955
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Provider Business Mailing Address
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Address Line | 6894 LAKE WORTH RD STE 104
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City | LAKE WORTH
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State | FL
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Zip | 33467-2964
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Country | US
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Telephone | 561-642-2800
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Fax | 561-963-1955
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATTI BROTMAN
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Credential | RN
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Telephone | 561-642-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0066699
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License Number State | FL
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