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General NPI Number Information
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NPI Number | 1427260827
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Entity Type | Individual
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Provider Name | MICHEL ALEXANDRE DIOUBATE M.D.,MPHTM
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Gender | Male
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 5045 LAPALCO BLVD
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City | MARRERO
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State | LA
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Zip | 70072-4235
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Country | US
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Telephone | 504-446-2245
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 504-446-2245
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.201653
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License Number State | LA
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