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General NPI Number Information
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NPI Number | 1285760991
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Entity Type | Organization
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Legal Business Name | GEORGE C. WEEKS, DDS PA
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 60 WEST BLVD
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City | MACCLENNY
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State | FL
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Zip | 32063-2070
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Country | US
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Telephone | 904-259-4649
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Fax | 904-259-5926
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Provider Business Mailing Address
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Address Line | 60 WEST BOULEVARD
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City | MACCLENNY
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State | FL
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Zip | 32063
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Country | US
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Telephone | 904-259-4649
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Fax | 904-259-5926
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GEORGE C WEEKS
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Credential | DDS
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Telephone | 904-259-4649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7973
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License Number State | FL
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