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General NPI Number Information
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NPI Number | 1083783674
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Entity Type | Individual
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Provider Name | ANN MARIE MILES PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 99 TOIAYBE RD - KINGSTON HC 65 BOX 102
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City | AUSTIN
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State | NV
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Zip | 89310
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Country | US
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Telephone | 775-964-1232
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Fax | 775-964-1238
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Provider Business Mailing Address
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Address Line | HC 65 BOX 102 99 TOIAYBE RD - KINGSTON
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City | AUSTIN
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State | NV
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Zip | 89310
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Country | US
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Telephone | 775-964-1232
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Fax | 775-964-1238
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 680
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License Number State | NV
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