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General NPI Number Information
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NPI Number | 1366224347
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Entity Type | Organization
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Legal Business Name | IMAD MIKHAIL MEDICAL PLLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 510 HEMPSTEAD TPKE RM 207
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-1152
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Country | US
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Telephone | 516-486-1953
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Fax |
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Provider Business Mailing Address
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Address Line | 510 HEMPSTEAD TPKE RM 207
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-1152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | IMAD MIKHAIL
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Credential |
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Telephone | 516-486-1953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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