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General NPI Number Information
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NPI Number | 1780904722
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Entity Type | Organization
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Legal Business Name | DUNCAN A G MILES MD PC
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 04/02/2011
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Provider Practice Location Address
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Address Line | 555 CAJON ST SUITE B
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City | REDLANDS
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State | CA
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Zip | 92373-5980
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Country | US
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Telephone | 909-509-5900
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Fax | 909-509-5922
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Provider Business Mailing Address
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Address Line | 555 CAJON ST SUITE B
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City | REDLANDS
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State | CA
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Zip | 92373-5980
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Country | US
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Telephone | 909-509-5900
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Fax | 909-509-5922
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Authorized Official
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Title or Position | CEO
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Name | DR. DUNCAN A.G. MILES
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Credential | M.D.
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Telephone | 909-261-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A73833
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License Number State | CA
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