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NPI Code Detail

MEDICARE: DAKOTA MILES

MEDICARE: DAKOTA MILES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1275044893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAKOTA MILES
Provider Business Mailing Address
First Line : 48 PRIVATE DRIVE 339
Second Line :
City : SOUTH POINT
State : OH
Zip : 45680-8919
Country : US
Telephone Number : 740-451-1455
Fax Number :
Provider Business Practice Location Address
First Line : 48 PRIVATE DRIVE 339
Second Line :
City : SOUTH POINT
State : OH
Zip : 45680-8919
Country : US
Telephone Number : 740-451-1455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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Directions to “ DAKOTA MILES ” Practice Location

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