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General NPI Number Information
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NPI Number | 1568483246
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Entity Type | Organization
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Legal Business Name | MACIEJ TUMIEL MD PA
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2101 NORTHSIDE DR UNIT 603
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City | PANAMA CITY
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State | FL
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Zip | 32405-3685
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Country | US
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Telephone | 850-784-8007
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Fax | 850-784-1090
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Provider Business Mailing Address
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Address Line | PO BOX 527
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City | PANAMA CITY
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State | FL
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Zip | 32402-0527
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Country | US
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Telephone | 850-784-8007
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Fax | 850-784-1090
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MACIEJ TUMIEL
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Credential | M.D.
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Telephone | 850-784-8007
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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 | ME66733
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License Number State | FL
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