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General NPI Number Information
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NPI Number | 1265518757
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Entity Type | Organization
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Legal Business Name | MILES MEMORIAL HOSPITAL INCORPORATED
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 35 MILES ST
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City | DAMARISCOTTA
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State | ME
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Zip | 04543-4047
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Country | US
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Telephone | 207-563-4146
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Fax | 207-563-4103
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Provider Business Mailing Address
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Address Line | PO BOX 745
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City | NEWCASTLE
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State | ME
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Zip | 04553-0745
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Country | US
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Telephone | 207-563-4146
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Fax | 207-563-4103
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Authorized Official
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Title or Position | VP PHYSICIAN SERVICES
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Name | MS. STACEY A MILLER
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Credential |
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Telephone | 207-563-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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