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General NPI Number Information
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NPI Number | 1528416492
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Entity Type | Individual
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Provider Name | MADLINE FRANCIS CHEMBOLA M.D
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Gender | Female
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 826 W KING ST
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City | OWOSSO
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State | MI
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Zip | 48867-2120
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Country | US
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Telephone | 989-723-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 3281 FIELDSTONE DR
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City | FLUSHING
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State | MI
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Zip | 48433-2217
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Country | US
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Telephone | 914-619-4114
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301119246
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License Number State | MI
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