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General NPI Number Information
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NPI Number | 1760919781
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Entity Type | Individual
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Provider Name | ARLENE MICHEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 1245 NE 2ND AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1912
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Country | US
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Telephone | 954-547-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 4725 N FEDERAL HWY STE 504
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4603
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Country | US
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Telephone | 954-267-6780
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Fax | 954-267-6779
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | PA9110062
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License Number State | FL
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