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General NPI Number Information
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NPI Number | 1871258616
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Entity Type | Organization
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Legal Business Name | PETER MILOTA LLC
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Dates
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Enumeration Date | 11/06/2021
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 2460 FAIRMOUNT BLVD STE 317
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44106-3164
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Country | US
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Telephone | 216-299-7717
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Fax |
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Provider Business Mailing Address
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Address Line | 2460 FAIRMOUNT BLVD STE 317
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44106-3164
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Country | US
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Telephone | 216-299-7717
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Fax | 440-234-2072
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Authorized Official
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Title or Position | OWNER / LISW
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Name | PETER MILOTA
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Credential | LISW
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Telephone | 216-299-7717
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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 |
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License Number State |
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