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General NPI Number Information
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NPI Number | 1023735453
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Entity Type | Organization
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Legal Business Name | GEORGE NORTHROP LLC
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 13 PARK LAWN DR
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City | BETHEL
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State | CT
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Zip | 06801-1043
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Country | US
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Telephone | 718-963-3495
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Fax |
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Provider Business Mailing Address
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Address Line | 14 TERRE HAUTE RD
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City | DANBURY
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State | CT
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Zip | 06810-7539
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE NORTHROP
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Credential | MD
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Telephone | 718-963-3495
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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 |
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License Number State |
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