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General NPI Number Information
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NPI Number | 1134939044
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Entity Type | Individual
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Provider Name | LINDSEY MAE MILES
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 10000 ZANE AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1400
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Country | US
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Telephone | 612-273-6228
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 190TH ST
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City | TRUMAN
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State | MN
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Zip | 56088-2077
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Country | US
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Telephone | 507-848-6581
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13760
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License Number State | MN
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