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General NPI Number Information
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NPI Number | 1063471589
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Entity Type | Individual
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Provider Name | GEORGE E NGANDO MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 5 MOBILE INFIRMARY CIR MOBILE EMERGENCY GROUP
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City | MOBILE
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State | AL
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Zip | 36607-3513
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Country | US
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Telephone | 251-435-2646
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Fax | 251-435-6478
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Provider Business Mailing Address
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Address Line | PO BOX 10583
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City | BIRMINGHAM
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State | AL
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Zip | 35202-0583
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Country | US
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Telephone | 251-435-2646
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Fax | 251-435-6478
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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 | MD.26585
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License Number State | AL
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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 | MD.26585
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD.26585
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License Number State | AL
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