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NPI 1275820532

NPI 1275820532 : LINDSEY ANN GEORGE DDS : CLAYSVILLE, PA

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General NPI Number Information
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    NPI Number           |    1275820532
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY ANN GEORGE DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2011
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    Last Update Date     |    09/19/2013
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Provider Practice Location Address
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    Address Line         |    261 MAIN ST PO BOX H
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    City                 |    CLAYSVILLE
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    State                |    PA
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    Zip                  |    15323-2398
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    Country              |    US
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    Telephone            |    724-663-7735
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    Fax                  |    724-663-7735
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Provider Business Mailing Address
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    Address Line         |    257 MAIN ST PO BOX H
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    City                 |    CLAYSVILLE
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    State                |    PA
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    Zip                  |    15323-2398
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    Country              |    US
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    Telephone            |    304-559-6115
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    Fax                  |    724-663-7735
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    3949
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DS038833
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    License Number State |    PA
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