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General NPI Number Information
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NPI Number | 1124125240
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Entity Type | Individual
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Provider Name | JASON D. GEORGE PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 44 S WASHINGTON AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-2768
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Country | US
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Telephone | 724-261-5556
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Fax | 724-689-0544
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Provider Business Mailing Address
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Address Line | 44 S WASHINGTON AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-2768
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Country | US
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Telephone | 724-261-5556
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Fax | 724-689-0544
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA052615
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License Number State | PA
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