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General NPI Number Information
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NPI Number | 1073748141
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Entity Type | Organization
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Legal Business Name | RICHARD W. MILES, M.D. & ASSOC., PLLC
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 30 CAMBRIA DR
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City | BELLA VISTA
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State | AR
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Zip | 72715-1503
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Country | US
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Telephone | 479-876-2736
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Fax | 888-331-2737
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Provider Business Mailing Address
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Address Line | PO BOX 3270
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City | BELLA VISTA
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State | AR
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Zip | 72715-0270
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Country | US
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Telephone | 479-876-2736
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Fax | 888-331-2737
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. RICHARD W. MILES
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Credential | M.D.
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Telephone | 479-876-2736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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