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General NPI Number Information
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NPI Number | 1528780335
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Entity Type | Individual
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Provider Name | HEATHER BREANNE MILES APRN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 2300 MIAMI VALLEY DR SUITE 550
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-438-7500
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Fax | 937-208-5143
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Provider Business Mailing Address
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Address Line | 2300 MIAMI VALLEY DR SUITE 550
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-438-7500
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Fax | 937-208-5143
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0039547
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0039547
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 32382
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License Number State | TN
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