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General NPI Number Information
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NPI Number | 1497233019
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Entity Type | Individual
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Provider Name | CHRISTIAN TUMMEL
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Gender | Male
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 412 CENTURY LN
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City | HOLLAND
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State | MI
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Zip | 49423-4285
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Country | US
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Telephone | 616-430-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 446 ALICE AVE
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City | ZEELAND
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State | MI
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Zip | 49464-1532
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Country | US
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Telephone | 616-422-2260
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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