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General NPI Number Information
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NPI Number | 1922761261
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Entity Type | Individual
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Provider Name | MR. FRANK PAUL MILITELLO
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Gender | Male
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 9600 VETERANS DR SW
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City | TACOMA
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State | WA
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Zip | 98493-0003
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Country | US
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Telephone | 253-583-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 4275 S PINE ST APT A311
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City | TACOMA
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State | WA
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Zip | 98409-6580
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Country | US
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Telephone | 231-250-3622
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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 | 2255R0406X
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Taxonomy Name | Blind Rehabilitation Specialist/Technologist
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License Number |
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License Number State |
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