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General NPI Number Information
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NPI Number | 1720232598
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Entity Type | Individual
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Provider Name | MONICA M MICHAELS ND, LAC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 110 GREY ST SUITE B
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City | EAST AURORA
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State | NY
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Zip | 14052-2129
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Country | US
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Telephone | 716-652-8404
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Fax | 716-652-6646
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Provider Business Mailing Address
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Address Line | 110 GREY ST SUITE B
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City | EAST AURORA
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State | NY
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Zip | 14052-2129
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Country | US
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Telephone | 716-652-8404
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Fax | 716-652-6646
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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 | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | 005405
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 005405
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 003706
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License Number State | NY
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