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General NPI Number Information
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NPI Number | 1033783709
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Entity Type | Individual
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Provider Name | RANDAL MILES PHARMD, MBA
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Gender | Male
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 5965 E BROAD ST STE 200
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City | COLUMBUS
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State | OH
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Zip | 43213-1562
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Country | US
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Telephone | 146-234-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 7784 ROWLES DR
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City | COLUMBUS
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State | OH
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Zip | 43235-4593
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03127443
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 03127443
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License Number State | OH
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