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NPI Code Detail

MEDICARE: MIA HARLE

MEDICARE: MIA HARLE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538014592
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA HARLE
Provider Business Mailing Address
First Line : 499 O'BRIEN STREET
Second Line :
City : PEMBROKE
State : ON
Zip : K8A8E8
Country : CA
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5835 E STILL CIR
Second Line :
City : MESA
State : AZ
Zip : 85206-3618
Country : US
Telephone Number : 480-265-8005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ MIA HARLE ” Practice Location

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