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General NPI Number Information
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NPI Number | 1710102157
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Entity Type | Individual
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Provider Name | JUDITH R MILNER MD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 RUCKER AVE
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City | EVERETT
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State | WA
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Zip | 98201
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Country | US
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Telephone | 425-339-8023
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Fax | 425-252-4245
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD00028957
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00028957
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License Number State | WA
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