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General NPI Number Information
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NPI Number | 1477542223
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Entity Type | Individual
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Provider Name | DAVID ADDISON MILES MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 1200 HENLEY LN
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City | BAKER
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State | FL
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Zip | 32531-2702
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Country | US
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Telephone | 850-969-7979
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Fax | 850-476-9352
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Provider Business Mailing Address
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Address Line | PO BOX 17567
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City | PENSACOLA
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State | FL
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Zip | 32522-7567
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Country | US
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Telephone | 850-969-7979
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Fax | 850-476-9352
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME36788
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License Number State | FL
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