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General NPI Number Information
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NPI Number | 1164959722
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Entity Type | Organization
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Legal Business Name | MYLES LOGISTICS
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 500 W SILVER SPRING DR STE K200
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City | MILWAUKEE
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State | WI
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Zip | 53217-5052
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Country | US
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Telephone | 414-847-6315
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Fax | 414-435-3192
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Provider Business Mailing Address
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Address Line | 500 W SILVER SPRING DR STE K200
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City | MILWAUKEE
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State | WI
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Zip | 53217-5052
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Country | US
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Telephone | 414-847-6315
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Fax | 414-435-3192
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NIKKI MYLES
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Credential |
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Telephone | 414-702-8339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | WI
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