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General NPI Number Information
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NPI Number | 1770633273
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Entity Type | Organization
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Legal Business Name | ERIC MILLSTEIN, M.D. INC.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 1204
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-595-1030
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Fax | 310-870-7341
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Provider Business Mailing Address
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Address Line | 425 HUEHL RD BUILDING 8
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City | NORTHBROOK
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State | IL
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Zip | 60062-2319
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Country | US
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Telephone | 847-770-6051
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Fax | 310-870-7341
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC SETH MILLSTEIN
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Credential | MD
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Telephone | 310-963-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A78280
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License Number State | CA
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