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General NPI Number Information
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NPI Number | 1336219997
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Entity Type | Individual
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Provider Name | THOMAS J CHIAMBRETTI DO
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12970 S US HIGHWAY 27
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City | DEWITT
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State | MI
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Zip | 48820-7956
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Country | US
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Telephone | 517-669-8345
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Fax | 517-882-5822
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Provider Business Mailing Address
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Address Line | 1107 E MILLER RD PO BOX 27547
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City | LANSING
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State | MI
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Zip | 48911-5312
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Country | US
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Telephone | 517-882-3318
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Fax | 517-882-5822
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TC008550
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License Number State | MI
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