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General NPI Number Information
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NPI Number | 1154424455
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Entity Type | Individual
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Provider Name | MR. GERALD CHARLES ZEMENS
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 STODDARD ROAD BOX 41038
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City | MEMPHIS
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State | MI
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Zip | 48041
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Country | US
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Telephone | 810-392-2167
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Fax | 810-392-3530
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Provider Business Mailing Address
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Address Line | 401 S MAIN ST PO BOX 678
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City | ALMONT
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State | MI
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Zip | 48003-1073
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Country | US
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Telephone | 810-441-5396
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Fax | 810-798-3561
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 500044
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License Number State | MI
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