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General NPI Number Information
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NPI Number | 1104455575
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Entity Type | Individual
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Provider Name | GEORGE KABWE CHILUPE DO
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 30 CUTTINO RD
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City | SUMTER
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State | SC
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Zip | 29150-2667
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Country | US
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Telephone | 803-778-2442
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Fax | 803-778-0880
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Provider Business Mailing Address
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Address Line | 30 CUTTINO RD
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City | SUMTER
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State | SC
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Zip | 29150-2667
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Country | US
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Telephone | 803-778-2442
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.017400
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License Number State | OH
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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 | LL90005
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License Number State | SC
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