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General NPI Number Information
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NPI Number | 1124293287
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Entity Type | Organization
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Legal Business Name | GEORGE LUDWIG, INC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 200 PLAZA DR SUITE B
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City | VESTAL
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State | NY
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Zip | 13850-3680
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Country | US
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Telephone | 607-729-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PLAZA DR SUITE B
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City | VESTAL
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State | NY
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Zip | 13850-3680
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Country | US
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Telephone | 607-729-8406
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MR. GEORGE C. LUDWIG
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Credential | CCC-A
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Telephone | 607-729-8406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 001192-1
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License Number State | NY
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