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General NPI Number Information
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NPI Number | 1194924738
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Entity Type | Individual
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Provider Name | EDDIE E. MICHLI MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 115 WATER ST SUITE 104
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City | MILFORD
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State | MA
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Zip | 01757-3015
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Country | US
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Telephone | 508-482-5411
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Fax | 508-482-5417
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Provider Business Mailing Address
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Address Line | 9 INDUSTRIAL RD STE 5
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City | MILFORD
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State | MA
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Zip | 01757-3736
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Country | US
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Telephone | 508-473-1480
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Fax | 508-473-1210
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 246328
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MA08231300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | D0067773
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License Number State | MD
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