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General NPI Number Information
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NPI Number | 1841213816
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Entity Type | Individual
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Provider Name | JAMIE L MILES D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 3027 MARINA BAY DR STE 105
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2772
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Country | US
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Telephone | 281-538-2062
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Fax | 281-538-1046
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Provider Business Mailing Address
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Address Line | 3027 MARINA BAY DR STE 105
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2772
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Country | US
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Telephone | 281-538-2062
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Fax | 281-538-6309
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8718
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License Number State | TX
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