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General NPI Number Information
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NPI Number | 1255467221
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Entity Type | Organization
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Legal Business Name | HELEN K MIRAU MD LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 2600 FAR HILLS AVE STE 204
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City | DAYTON
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State | OH
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Zip | 45419-1642
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Country | US
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Telephone | 937-293-3680
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Fax | 937-293-3698
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Provider Business Mailing Address
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Address Line | 2600 FAR HILLS AVE STE 204
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City | DAYTON
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State | OH
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Zip | 45419-1642
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Country | US
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Telephone | 937-293-3680
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Fax | 937-293-3698
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Authorized Official
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Title or Position | OWNER
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Name | DR. HELEN KIM MIRAU
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Credential | M.D.
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Telephone | 937-293-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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