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General NPI Number Information
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NPI Number | 1134390990
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Entity Type | Organization
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Legal Business Name | MICHELLE M. ALGARIN, M.D., INC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 23961 CALLE DE LA MAGDALENA # 520
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3616
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Country | US
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Telephone | 949-855-3376
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Fax | 949-609-1971
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Provider Business Mailing Address
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Address Line | 23961 CALLE DE LA MAGDALENA # 520
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3616
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Country | US
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Telephone | 949-855-3376
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Fax | 949-609-1971
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELLE MARIE ALGARIN
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Credential | M.D.
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Telephone | 949-855-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | G85189
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | G85189
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | G85189
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G85189
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License Number State | CA
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