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General NPI Number Information
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NPI Number | 1184625329
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Entity Type | Individual
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Provider Name | MICHAEL ADAM GEBEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 1340 S 18TH ST STE 104
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4733
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Country | US
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Telephone | 904-376-3707
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Fax | 904-391-5001
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Provider Business Mailing Address
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Address Line | PO BOX 41113
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City | JACKSONVILLE
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State | FL
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Zip | 32203-1113
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Country | US
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Telephone | 904-376-4400
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Fax | 904-391-5595
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101243500
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME56094
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License Number State | FL
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