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General NPI Number Information
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NPI Number | 1902483720
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Entity Type | Individual
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Provider Name | ELLEN TUMBARELLA DO
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Gender | Female
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3477 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-8552
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Country | US
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Telephone | 517-234-6540
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Fax | 517-338-9083
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR STE J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone | 734-747-6766
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Fax | 734-222-3100
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101028082
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License Number State | MI
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