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General NPI Number Information
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NPI Number | 1891806063
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Entity Type | Organization
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Legal Business Name | MILKA INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 2021 SANTA MONICA BLVD SUITE 620E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2221
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Country | US
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Telephone | 310-829-7472
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Fax | 310-829-2286
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Provider Business Mailing Address
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Address Line | 2021 SANTA MONICA BLVD SUITE 620E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2221
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Country | US
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Telephone | 310-829-7472
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Fax | 310-829-2286
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMILY IKER
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Credential | MD
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Telephone | 310-829-7472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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