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General NPI Number Information
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NPI Number | 1396018032
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Entity Type | Organization
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Legal Business Name | MILES FRANKLIN ADLER, M.D., A PROFESSIONAL CORPO
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 13847 E. FOURTEENTH STREET SUITE 115
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2625
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Country | US
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Telephone | 510-357-8180
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Fax | 510-357-0276
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Provider Business Mailing Address
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Address Line | 13847 E. FOURTEENTH STREET SUITE 115
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2625
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Country | US
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Telephone | 510-357-8180
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Fax | 510-357-0276
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Authorized Official
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Title or Position | PHYSICIAN/OWNER/PRESIDENT OF CORPOR
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Name | MILES FRANKLIN ADLER
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Credential | M.D.
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Telephone | 510-357-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G16859
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License Number State | CA
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