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General NPI Number Information
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NPI Number | 1255298410
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Entity Type | Individual
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Provider Name | GEORGE W. GUMBRELL MA
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Gender | Male
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 297 N MAIN ST STE 3
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City | BARRE
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State | VT
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Zip | 05641-4503
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Country | US
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Telephone | 802-793-3682
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Fax |
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Provider Business Mailing Address
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Address Line | 81 CHELSEA PL
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City | WILLISTON
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State | VT
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Zip | 05495-9372
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Country | US
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Telephone | 802-793-3682
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 097.0135796
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License Number State | VT
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