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General NPI Number Information
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NPI Number | 1477392710
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Entity Type | Individual
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Provider Name | MICHAEL EARL GAMBLE
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Gender | Male
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 3212 W 97TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-4744
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Country | US
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Telephone | 216-356-9186
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 W 97TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-4744
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Country | US
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Telephone | 216-356-9186
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number | 343900000X
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number | 873328741
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | OH
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