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General NPI Number Information
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NPI Number | 1598711459
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Entity Type | Individual
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Provider Name | MICHEL-JOSE CHARLES MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 3621 GLENWOOD RD
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City | BROOKLYN
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State | NY
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Zip | 11210-1944
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Country | US
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Telephone | 718-434-0202
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Fax |
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Provider Business Mailing Address
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Address Line | 157 SAINT PAULS RD N
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City | HEMPSTEAD
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State | NY
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Zip | 11550-1133
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Country | US
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Telephone | 718-434-0202
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 196901
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License Number State | NY
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