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NPI 1750505277

NPI 1750505277 : NANCY PAULETTE MILAN MSW : NORTH CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1750505277
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY PAULETTE MILAN MSW
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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     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1050 REMOUNT RD BLDG 3107 
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    City                 |    NORTH CHARLESTON
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    State                |    SC
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    Zip                  |    29406-3516
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    Country              |    US
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    Telephone            |    843-743-0306
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    Fax                  |    843-743-0334
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2913 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29484-2913
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    Country              |    US
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    Telephone            |    843-821-2724
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    6801079680
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    License Number State |    MI
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