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General NPI Number Information
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NPI Number | 1467758987
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Entity Type | Organization
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Legal Business Name | GREGORY L. CAMMELL, M.D.,PLC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 4124 56TH ST SW SUITE 2
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City | WYOMING
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State | MI
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Zip | 49418-9494
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Country | US
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Telephone | 616-241-6380
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Fax | 616-608-5347
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Provider Business Mailing Address
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Address Line | 4124 56TH ST SW SUITE 2
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City | WYOMING
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State | MI
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Zip | 49418-9494
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Country | US
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Telephone | 616-241-6380
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Fax | 616-608-5347
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY L CAMMELL
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Credential | M.D.
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Telephone | 616-241-6380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301058848
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License Number State | MI
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