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General NPI Number Information
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NPI Number | 1528263647
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Entity Type | Individual
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Provider Name | JOHN WYATT MILES D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 300 S PRESTON ST
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City | RANSON
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State | WV
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Zip | 25438-1631
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Country | US
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Telephone | 304-728-1600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 599
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City | SPENCERVILLE
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State | MD
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Zip | 20868-0599
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Country | US
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Telephone | 877-504-7362
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Fax | 949-862-5121
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO2168
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 3237
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2168
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2168
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 3237
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License Number State | WV
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