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General NPI Number Information
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NPI Number | 1730680737
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Entity Type | Individual
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Provider Name | BRITTANY MILACCI MS L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/24/2018
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Last Update Date | 02/24/2018
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Provider Practice Location Address
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Address Line | 14520 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4317
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Country | US
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Telephone | 216-227-1490
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 W 44TH ST
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City | CLEVELAND
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State | OH
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Zip | 44113-3205
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Country | US
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Telephone | 503-915-9036
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 65.000310
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License Number State | OH
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