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General NPI Number Information
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NPI Number | 1023540382
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Entity Type | Individual
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Provider Name | JOHN GEORGE MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2415 N ORANGE AVE STE 200
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City | ORLANDO
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State | FL
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Zip | 32804-5505
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Country | US
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Telephone | 407-303-1812
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Fax | 407-303-1815
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Provider Business Mailing Address
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Address Line | 267 GRANT ST ELSA RICCIO, INTERNAL MEDICINE RESIDENCY PROGRAM
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2805
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Country | US
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Telephone | 203-384-3792
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Fax | 203-384-4294
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME145349
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME145349
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License Number State | FL
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