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General NPI Number Information
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NPI Number | 1356349583
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Entity Type | Individual
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Provider Name | ROBERT T MYLES MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 729 W BEDFORD EULESS RD STE 206
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City | HURST
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State | TX
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Zip | 76053-3941
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Country | US
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Telephone | 817-288-0084
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Fax | 817-445-1039
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Provider Business Mailing Address
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Address Line | 729 W BEDFORD EULESS RD STE 206
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City | HURST
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State | TX
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Zip | 76053-3939
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Country | US
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Telephone | 817-288-0084
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Fax | 817-445-1039
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | K1579
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License Number State | TX
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