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General NPI Number Information
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NPI Number | 1316457914
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Entity Type | Individual
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Provider Name | GEORGE SHENOUDA DO
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Gender | Male
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 9655 BOYNTON BEACH BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-4421
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Country | US
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Telephone | 833-692-2784
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Fax |
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Provider Business Mailing Address
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Address Line | 11818 WINDMILL LAKE DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-7846
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Country | US
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Telephone | 615-436-6735
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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 | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | OS15881
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS15881
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License Number State | FL
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