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General NPI Number Information
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NPI Number | 1275535627
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Entity Type | Individual
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Provider Name | MYLEA N WILEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 7035 N CHESTNUT AVE SUITE 105
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City | FRESNO
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State | CA
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Zip | 93720-0352
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Country | US
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Telephone | 559-573-7260
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Fax | 559-573-7254
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Provider Business Mailing Address
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Address Line | 2595 E PERRIN AVE SUITE 114
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City | FRESNO
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State | CA
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Zip | 93720-5202
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Country | US
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Telephone | 559-455-8944
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Fax | 626-380-4218
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A88917
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A88917
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License Number State | CA
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