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General NPI Number Information
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NPI Number | 1073709465
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Entity Type | Organization
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Legal Business Name | GEORGE M. SCARMON, MD
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 1530 3RD ST SUITE 106
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City | LINCOLN
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State | CA
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Zip | 95648-1562
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Country | US
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Telephone | 916-645-3388
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Fax | 916-645-6159
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Provider Business Mailing Address
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Address Line | 1530 3RD ST SUITE 106
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City | LINCOLN
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State | CA
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Zip | 95648-1562
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Country | US
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Telephone | 916-645-3388
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Fax | 916-645-6159
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | GEORGE M SCARMON
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Credential | MD
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Telephone | 916-645-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 00G255140
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License Number State | CA
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