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General NPI Number Information
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NPI Number | 1679934343
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Entity Type | Individual
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Provider Name | MR. DEMETRIOS MILIOS
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Gender | Male
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1727 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10031-4611
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Country | US
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Telephone | 212-694-9200
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Fax | 212-694-0880
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Provider Business Mailing Address
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Address Line | EMMA BOWEN COMMUNITY CLINIC 1727 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10031
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Country | US
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Telephone | 212-694-9200
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Fax | 212-694-0880
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 340494
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F403842
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License Number State | NY
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