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General NPI Number Information
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NPI Number | 1295872547
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Entity Type | Individual
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Provider Name | GEORGE ROBBINS CONAHEY IV D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 4002 VISTA WAY DEPT. OF NEONATOLOGY - PEDIATRIX MEDICAL GROUP
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City | OCEANSIDE
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State | CA
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Zip | 92056-4506
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Country | US
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Telephone | 760-940-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 3460 CORTE CLARITA
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City | CARLSBAD
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State | CA
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Zip | 92009-9500
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Country | US
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Telephone | 760-512-0146
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Fax |
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 20A8196
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License Number State | CA
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