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General NPI Number Information
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NPI Number | 1649205980
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Entity Type | Individual
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Provider Name | KEVIN ALEXANDER MILES D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 890 MILL ST SUITE 102
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City | RENO
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State | NV
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Zip | 89502-1442
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Country | US
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Telephone | 775-324-6300
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Fax | 775-324-6301
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Provider Business Mailing Address
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Address Line | PO BOX 17418
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City | RENO
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State | NV
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Zip | 89511-7418
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Country | US
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Telephone | 775-324-6300
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Fax | 775-324-6301
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1221
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 7995
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License Number State | NV
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