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General NPI Number Information
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NPI Number | 1922401371
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Entity Type | Individual
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Provider Name | JAMIE MILES DPT
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Gender | Female
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 3001 LINCOLN DR W STE I
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City | MARLTON
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State | NJ
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Zip | 08053-1528
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Country | US
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Telephone | 856-396-3173
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Fax |
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Provider Business Mailing Address
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Address Line | 7 LIBERTY CIR
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City | SHAMONG
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State | NJ
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Zip | 08088-8675
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Country | US
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Telephone | 609-354-8942
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01563400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA01563400
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License Number State | NJ
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