MEDICARE: VIRGINIA AMY MILNE AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AT006181	PA
2	231HA2500X	Assistive Technology Supplier Audiologist	AT006181	PA
3	237600000X	Audiologist-Hearing Aid Fitter	AT006181	PA

General Provider Information

NPI Number	:	1528373388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA AMY MILNE AU.D.

Provider Business Mailing Address
First Line	:	300 FLEET ST
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2903
Country	:	US
Telephone Number	:	412-741-2221
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 FLEET ST
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2903
Country	:	US
Telephone Number	:	412-741-2221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	08/17/2010

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