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General NPI Number Information
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NPI Number | 1518998723
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Entity Type | Organization
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Legal Business Name | DRS. MISHAL, PHAM & ASSOCIATES
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 8500 FLORENCE AVE SUITE 200
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City | DOWNEY
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State | CA
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Zip | 90240-4054
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Country | US
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Telephone | 562-869-4579
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Fax | 562-862-1765
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Provider Business Mailing Address
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Address Line | 8500 FLORENCE AVE SUITE 200
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City | DOWNEY
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State | CA
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Zip | 90240-4054
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Country | US
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Telephone | 562-869-4579
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Fax | 562-862-1765
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Authorized Official
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Title or Position | PARTNER
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Name | DEVADATT MADHUKAR MISHAL
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Credential | M.D.
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Telephone | 562-869-4579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A36594
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License Number State | CA
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