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General NPI Number Information
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NPI Number | 1013257088
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Entity Type | Organization
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Legal Business Name | GEORGE MICHEL MD, PA.
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 10620 SW 83RD AVE
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City | MIAMI
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State | FL
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Zip | 33156-3514
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Country | US
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Telephone | 786-543-1930
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Fax | 305-675-3714
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Provider Business Mailing Address
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Address Line | 6140 SW 70TH ST SECOND FLOOR
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3419
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Country | US
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Telephone | 305-284-7577
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Fax | 305-675-3714
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE J MICHEL
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Credential | M.D
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Telephone | 786-200-7320
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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 | ME67268
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License Number State | FL
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