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General NPI Number Information
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NPI Number | 1598773475
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Entity Type | Individual
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Provider Name | THOMAS D MYLES MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 405 N MAIN ST
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City | KISSIMMEE
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State | FL
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Zip | 34744-5260
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Country | US
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Telephone | 407-518-1074
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Fax | 407-518-9056
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Provider Business Mailing Address
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Address Line | 405 N MAIN ST
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City | KISSIMMEE
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State | FL
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Zip | 34744-5260
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Country | US
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Telephone | 407-518-1074
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Fax | 407-518-9056
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME130015
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME130015
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License Number State | FL
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