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NPI 1700921889

NPI 1700921889 : DOUGLAS SCOTT MILMAN PH.D. : BALDWIN, NY

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General NPI Number Information
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    NPI Number           |    1700921889
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    Entity Type          |    Individual 
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    Provider Name        |    DOUGLAS SCOTT MILMAN PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2280 GRAND AVE SUITE206A
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    City                 |    BALDWIN
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    State                |    NY
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    Zip                  |    11510-3164
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    Country              |    US
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    Telephone            |    516-379-9561
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2280 GRAND AVE SUITE206A
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    City                 |    BALDWIN
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    State                |    NY
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    Zip                  |    11510-3164
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    Country              |    US
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    Telephone            |    516-379-9561
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    008985
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    00895
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    008985
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    License Number State |    NY
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