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General NPI Number Information
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NPI Number | 1922041144
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Entity Type | Individual
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Provider Name | JENE E BRAMEL III M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 204 PATRICK AVE
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City | URBANA
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State | OH
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Zip | 43078-2302
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Country | US
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Telephone | 937-484-6157
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Fax | 937-484-6181
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Provider Business Mailing Address
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Address Line | PO BOX 77196
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City | DETROIT
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State | MI
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Zip | 48277-1796
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Country | US
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Telephone | 937-641-5072
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Fax | 937-641-6129
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.080841
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License Number State | OH
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