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General NPI Number Information
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NPI Number | 1114196219
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Entity Type | Individual
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Provider Name | MILES A GOINS D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 2709 E LIBERTY ST
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City | MEXICO
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State | MO
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Zip | 65265-3556
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Country | US
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Telephone | 573-975-9824
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Fax | 573-581-2446
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Provider Business Mailing Address
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Address Line | 2709 E LIBERTY ST
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City | MEXICO
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State | MO
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Zip | 65265-3556
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Country | US
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Telephone | 573-975-9824
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Fax | 573-581-2446
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11188
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2011039597
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License Number State | MO
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