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General NPI Number Information
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NPI Number | 1205487238
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Entity Type | Individual
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Provider Name | ASHLEY HARPER MILES NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 6051 U S HIGHWAY 49
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City | HATTIESBURG
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State | MS
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Zip | 39401-7200
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Country | US
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Telephone | 601-288-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 97 DAISY DR
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City | LAUREL
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State | MS
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Zip | 39443-9134
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Country | US
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Telephone | 601-498-4669
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 903589
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License Number State | MS
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