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General NPI Number Information
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NPI Number | 1497852057
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Entity Type | Organization
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Legal Business Name | DAVID C MISHKEL MDPA
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 2300 GLADES RD SUITE 200 EAST TOWER
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City | BOCA RATON
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State | FL
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Zip | 33431-7386
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Country | US
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Telephone | 561-338-8884
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Fax | 561-338-5230
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Provider Business Mailing Address
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Address Line | 2300 GLADES RD SUITE 200 EAST TOWER
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City | BOCA RATON
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State | FL
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Zip | 33431-7386
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Country | US
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Telephone | 561-338-8884
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Fax | 561-338-5230
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CHARLES MISHKEL
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Credential | MD
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Telephone | 561-338-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME66416
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME66416
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License Number State | FL
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