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General NPI Number Information
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NPI Number | 1821072497
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Entity Type | Individual
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Provider Name | MICHELLE ELIZABETH MUHART MD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 5053 S CONGRESS AVE STE 204
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City | ATLANTIS
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State | FL
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Zip | 33461
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Country | US
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Telephone | 561-969-7300
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Fax | 561-969-6922
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Provider Business Mailing Address
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Address Line | 5053 S CONGRESS AVE STE 204
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City | ATLANTIS
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State | FL
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Zip | 33461
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Country | US
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Telephone | 561-969-7300
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Fax | 561-969-6922
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME0073505
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License Number State | FL
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