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General NPI Number Information
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NPI Number | 1831142702
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Entity Type | Individual
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Provider Name | MILES FERDI ARDAMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1405 OAKLAND PARK RD
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-4506
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Country | US
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Telephone | 218-650-1653
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Fax | 706-948-8367
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Provider Business Mailing Address
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Address Line | 1405 OAKLAND PARK RD
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-4506
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Country | US
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Telephone | 218-650-1653
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Fax | 701-732-2501
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 64693
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2005-01924
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21445
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20037
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License Number State | SC
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