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General NPI Number Information
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NPI Number | 1578508636
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Entity Type | Organization
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Legal Business Name | DAVID R. MILOY MD PA
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 1411 WATER ST
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City | KERRVILLE
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State | TX
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Zip | 78028
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Country | US
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Telephone | 830-895-5599
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Fax | 830-895-8686
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Provider Business Mailing Address
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Address Line | 1411 WATER ST
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City | KERRVILLE
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State | TX
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Zip | 78028
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Country | US
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Telephone | 830-895-5599
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Fax | 830-895-8686
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Authorized Official
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Title or Position | OWNER
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Name | DAVID R. MILOY
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Credential | M.D.
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Telephone | 830-895-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L3893
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License Number State | TX
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