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General NPI Number Information
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NPI Number | 1144882960
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Entity Type | Individual
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Provider Name | MICHAEL AWAD MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 675 N SAINT CLAIR ST FL 15
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City | CHICAGO
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State | IL
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Zip | 60611-5975
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Country | US
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Telephone | 905-617-6440
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Fax |
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Provider Business Mailing Address
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Address Line | 420 NORTH SERVICE ROAD E SUITE 2
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City | OAKVILLE
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State | ON
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Zip | L6H5R2
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Country | CA
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036151327
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0000000
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License Number State | CA
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