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General NPI Number Information
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NPI Number | 1205121001
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Entity Type | Individual
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Provider Name | GEORGES ANTOINE HNEICH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 15418 MAIN ST # 200
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City | MILL CREEK
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State | WA
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Zip | 98012-9030
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Country | US
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Telephone | 425-339-5476
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Fax | 425-259-6069
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Provider Business Mailing Address
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Address Line | PO BOX 5127
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City | EVERETT
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State | WA
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Zip | 98206-5127
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Country | US
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Telephone | 206-860-5414
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Fax | 206-720-8462
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD33615
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | MD61148741
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101263191
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61148741
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License Number State | WA
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