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General NPI Number Information
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NPI Number | 1225972979
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Entity Type | Organization
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Legal Business Name | GENTLEPATH MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 2081 ANOKA ST
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City | FLINT
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State | MI
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Zip | 48532-4512
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Country | US
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Telephone | 312-522-3446
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Fax |
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Provider Business Mailing Address
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Address Line | 2081 ANOKA ST
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City | FLINT
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State | MI
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Zip | 48532-4512
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Country | US
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Telephone | 312-522-3446
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. MARTINS EFOSA BAZUAYE
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Credential | MD
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Telephone | 312-552-3446
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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