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General NPI Number Information
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NPI Number | 1144183229
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Entity Type | Organization
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Legal Business Name | MIDLAKES NEUROLOGY PLLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 200 NORTH ST STE 302
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City | GENEVA
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State | NY
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Zip | 14456-1561
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Country | US
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Telephone | 315-787-5377
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Fax | 315-787-5377
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Provider Business Mailing Address
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Address Line | 200 NORTH ST STE 302
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City | GENEVA
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State | NY
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Zip | 14456-1561
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Country | US
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Telephone | 315-787-5377
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Fax | 315-787-5377
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Authorized Official
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Title or Position | MD/OWNER
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Name | ZIAD RIFAI
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Credential | MD
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Telephone | 585-905-0767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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