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General NPI Number Information
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NPI Number | 1639291586
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Entity Type | Individual
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Provider Name | MIHO SAYLES ATC
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 1801 E 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-2345
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Country | US
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Telephone | 317-259-5359
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 E 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-2345
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Country | US
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Telephone | 317-259-5359
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2006022371
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 36001273A
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License Number State | IN
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