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General NPI Number Information
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NPI Number | 1003838210
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Entity Type | Individual
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Provider Name | GEORGE ALAN IDELKOPE MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 68 BRATTLEBORO RD
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City | HINSDALE
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State | NH
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Zip | 03451
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Country | US
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Telephone | 603-336-5948
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Fax | 603-336-5949
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Provider Business Mailing Address
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Address Line | 116 PINNACLE SPRINGS RD
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City | CHESTERFIELD
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State | NH
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Zip | 03443-3815
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Country | US
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Telephone | 603-363-8136
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 6958
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6756
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License Number State | NH
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