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General NPI Number Information
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NPI Number | 1598807778
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Entity Type | Individual
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Provider Name | ALEX SARMEN MIRAKIAN
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 3031 CARTERS MILL RD
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City | MARIANNA
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State | FL
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Zip | 32446-1902
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Country | US
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Telephone | 850-526-2104
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Fax | 850-482-2445
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Provider Business Mailing Address
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Address Line | PO BOX 931176
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City | ATLANTA
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State | GA
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Zip | 31193-1176
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Country | US
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Telephone |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME158312
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License Number State | FL
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