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General NPI Number Information
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NPI Number | 1336444355
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Entity Type | Individual
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Provider Name | LISA JEAN GEORGE RN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2011
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Last Update Date | 01/22/2011
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Provider Practice Location Address
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Address Line | 5050 ROSEVILLE RD SPC 617
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-5138
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Country | US
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Telephone | 916-968-3295
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 ROSEVILLE RD SPC 617
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-5138
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Country | US
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Telephone | 916-968-3295
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 713266
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 713266
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 713266
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 713266
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 713266
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 713266
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License Number State | CA
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