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General NPI Number Information
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NPI Number | 1093804817
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Entity Type | Individual
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Provider Name | GEORGE SICH III D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 901 MAGNOLIA DR
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City | AIKEN
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State | SC
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Zip | 29803
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Country | US
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Telephone | 803-648-6988
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Fax | 803-648-6984
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Provider Business Mailing Address
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Address Line | 1120 15TH ST STE BI1056
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-446-5941
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Fax | 706-721-9286
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 569
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | POD001182
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License Number State | GA
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