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General NPI Number Information
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NPI Number | 1952797631
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Entity Type | Individual
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Provider Name | PHILIP JAMES KASS MILES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 833 S IOWA ST STE 102
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City | DODGEVILLE
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State | WI
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Zip | 53533-1900
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Country | US
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Telephone | 608-935-3301
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Fax | 608-835-3823
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Provider Business Mailing Address
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Address Line | 833 S IOWA ST STE 102
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City | DODGEVILLE
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State | WI
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Zip | 53533-1900
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Country | US
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Telephone | 608-935-3301
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Fax | 608-935-3823
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5701
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51861
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 66822
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License Number State | WI
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