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General NPI Number Information
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NPI Number | 1912981812
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Entity Type | Individual
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Provider Name | CYNTHIA J MILICH N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 112 JEFFERSON AVE SUITE 201
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City | COLUMBUS
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State | OH
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Zip | 43215-1702
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Country | US
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Telephone | 614-453-1065
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Fax | 614-453-1078
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Provider Business Mailing Address
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Address Line | 112 JEFFERSON AVE SUITE 201
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City | COLUMBUS
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State | OH
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Zip | 43215-1702
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Country | US
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Telephone | 614-453-1065
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Fax | 614-453-1078
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA.07508.NP
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License Number State | OH
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