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General NPI Number Information
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NPI Number | 1174260889
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Entity Type | Individual
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Provider Name | MR. MIKHAIL KAHLIL NOEL
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Gender | Male
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Dates
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Enumeration Date | 05/14/2022
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 350 CALLOWAY DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2974
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Country | US
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Telephone | 661-587-0221
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Fax |
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Provider Business Mailing Address
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Address Line | 9919 BATTERSEA PARK DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-5628
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Country | US
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Telephone | 573-552-7975
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 35423
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License Number State | CA
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