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General NPI Number Information
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NPI Number | 1275505364
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Entity Type | Individual
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Provider Name | GEORGE MICHAEL VELOUDIS JR. DO
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3292 EAGLE VIEW LN STE 190
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City | LEXINGTON
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State | KY
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Zip | 40509-2173
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Country | US
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Telephone | 859-277-5736
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Fax | 859-276-2236
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Provider Business Mailing Address
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Address Line | PO BOX 55069
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City | LEXINGTON
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State | KY
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Zip | 40555-5069
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Country | US
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Telephone | 859-277-5736
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Fax | 859-276-2236
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 02485
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 02485
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 02485
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 02485
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License Number State | KY
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