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General NPI Number Information
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NPI Number | 1467416784
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Entity Type | Individual
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Provider Name | MONA RIAD MIKHAIL MD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 1385 WASHINGTON RD SUITE 102
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City | WASHINGTON
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State | PA
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Zip | 15301
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Country | US
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Telephone | 724-222-2010
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Fax | 724-222-2509
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Provider Business Mailing Address
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Address Line | 231 LAKEVIEW DRIVE
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City | CORAOPALIS
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State | PA
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Zip | 15108
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Country | US
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Telephone | 724-222-2010
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Fax | 724-222-2509
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD053460L
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License Number State | PA
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