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General NPI Number Information
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NPI Number | 1548347453
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Entity Type | Organization
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Legal Business Name | JAMES A GELS MD PC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 14730 PARK AVE
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City | CHARLEVOIX
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State | MI
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Zip | 49720-1939
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Country | US
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Telephone | 231-547-4439
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Fax | 231-547-0069
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Provider Business Mailing Address
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Address Line | 14730 PARK AVE
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City | CHARLEVOIX
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State | MI
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Zip | 49720-1939
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Country | US
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Telephone | 231-547-4439
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Fax | 231-547-0069
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES A GELS
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Credential | M.D.
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Telephone | 231-547-4439
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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 | 4301032818
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License Number State | MI
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