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General NPI Number Information
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NPI Number | 1346862786
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Entity Type | Organization
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Legal Business Name | MIKHAIL DAYA DMD PA
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 1800 N FEDERAL HWY STE 201
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1021
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Country | US
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Telephone | 954-941-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 N FEDERAL HWY STE 201
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1021
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Country | US
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Telephone | 954-941-2727
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | DR. MIKHAIL JOSE GREGORIO DAYA ATTIE
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Credential | DMD
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Telephone | 954-941-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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