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General NPI Number Information
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NPI Number | 1366443541
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Entity Type | Individual
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Provider Name | ANTONY M GEORGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 20575 CENTER RIDGE RD
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3422
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Country | US
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Telephone | 440-403-9506
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Fax | 440-403-9507
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Provider Business Mailing Address
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Address Line | 20575 CENTER RIDGE RD
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3422
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Country | US
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Telephone | 440-403-9506
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Fax | 440-403-9507
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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 | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | 35064060
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 35064060
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License Number State | OH
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