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General NPI Number Information
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NPI Number | 1184825895
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Entity Type | Organization
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Legal Business Name | JOSEPH P. MILES, DDS, PA
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 511 N HYATT ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4029
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Country | US
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Telephone | 870-367-6453
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Fax | 870-367-0375
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Provider Business Mailing Address
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Address Line | 511 N HYATT ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4029
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Country | US
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Telephone | 870-367-6453
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Fax | 870-367-0375
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH P. MILES
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Credential | DDS
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Telephone | 870-367-6453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3068
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License Number State | AR
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