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General NPI Number Information
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NPI Number | 1316979636
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Entity Type | Organization
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Legal Business Name | DIAA Y. MIKHAIL, M.D., P.A.
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 1105 N POINT BLVD SUITE 708
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City | BALTIMORE
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State | MD
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Zip | 21224-3419
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Country | US
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Telephone | 410-288-5901
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Fax | 410-288-5904
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Provider Business Mailing Address
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Address Line | 1105 N POINT BLVD SUITE 708
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City | BALTIMORE
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State | MD
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Zip | 21224-3419
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Country | US
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Telephone | 410-288-5901
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Fax | 410-288-5904
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIAA Y. MIKHAIL
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Credential |
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Telephone | 410-288-5901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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