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General NPI Number Information
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NPI Number | 1194258624
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Entity Type | Individual
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Provider Name | MICHAEL CHAOUKI GEMAYEL
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 25230 MICHIGAN AVE
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City | DEARBORN
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State | MI
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Zip | 48124-1715
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Country | US
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Telephone | 313-441-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 25230 MICHIGAN AVE
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City | DEARBORN
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State | MI
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Zip | 48124-1715
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Country | US
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Telephone | 313-441-2227
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 328103
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301508400
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License Number State | MI
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