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General NPI Number Information
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NPI Number | 1043665987
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Entity Type | Individual
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Provider Name | TAYLOR MORGAN MILES MD
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Gender | Female
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2500 W REYNOLDS ST
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City | PONTIAC
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State | IL
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Zip | 61764-9774
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Country | US
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Telephone | 815-842-2828
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Fax | 815-842-4912
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Provider Business Mailing Address
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Address Line | 2500 W REYNOLDS ST
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City | PONTIAC
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State | IL
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Zip | 61764-9774
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Country | US
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Telephone | 815-842-2828
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Fax | 815-842-4912
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11903
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M-2317
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | EMTL-2022-009
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License Number State | GU
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MED-PHYS-LIC-91574
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036153522
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License Number State | IL
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