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General NPI Number Information
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NPI Number | 1215641683
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Entity Type | Organization
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Legal Business Name | MILES MEDICAL GROUP LLC
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1500 N GRANT ST # 4467
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 970-306-6819
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Fax | 650-374-5584
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Provider Business Mailing Address
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Address Line | 1441 LITTLE RAVEN ST APT 17008
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City | DENVER
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State | CO
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Zip | 80202-6449
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Country | US
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Telephone | 973-886-4872
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HANNAH LABOVE
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Credential | MD
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Telephone | 970-306-6819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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