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General NPI Number Information
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NPI Number | 1730031972
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Entity Type | Organization
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Legal Business Name | OFFICE GEMS BUSINESS AGENCY
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 318 S SOUTH ST # B9
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City | GASTONIA
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State | NC
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Zip | 28052-4379
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Country | US
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Telephone | 704-565-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 318 S SOUTH ST # B9
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City | GASTONIA
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State | NC
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Zip | 28052-4379
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Country | US
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Telephone | 704-565-9151
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEWELL WILSON
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Credential | MBA
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Telephone | 704-761-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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