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General NPI Number Information
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NPI Number | 1912139940
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Entity Type | Individual
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Provider Name | MIREILLE EL HAYEK M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2009
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2315 DOUGHERTY FERRY ROAD SUITE 109B
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3383
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Country | US
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Telephone | 314-965-9133
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Fax | 314-984-2793
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Provider Business Mailing Address
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Address Line | 2315 DOUGHERTY FERRY ROAD SUITE 109B
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3383
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Country | US
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Telephone | 314-965-9133
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Fax | 314-984-2793
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 2015023837
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 036142174
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License Number State | IL
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