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General NPI Number Information
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NPI Number | 1164750287
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Entity Type | Organization
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Legal Business Name | GEORGE B DECKEY, PC
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 2435 S AVE A SUITE B
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City | YUMA
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State | AZ
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Zip | 85364-7175
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Country | US
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Telephone | 928-276-5141
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Fax | 928-726-2848
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | YUMA
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State | AZ
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Zip | 85366-2300
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Country | US
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Telephone | 928-726-5141
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Fax | 928-726-2848
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. GEORGE BASHIR DECKEY
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Credential | M.D.
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Telephone | 928-726-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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