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General NPI Number Information
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NPI Number | 1710929757
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Entity Type | Individual
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Provider Name | EHAB S MICHAEL MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD STE E-E
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City | SARASOTA
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State | FL
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Zip | 34233-1262
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Country | US
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Telephone | 941-777-0002
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Fax | 941-777-0036
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD STE E-E
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City | SARASOTA
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State | FL
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Zip | 34233-1262
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Country | US
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Telephone | 941-777-0002
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Fax | 941-777-0036
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 39387
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 39387
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 39387
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME118919
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License Number State | FL
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