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General NPI Number Information
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NPI Number | 1386194082
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Entity Type | Individual
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Provider Name | SIJU C GEORGE MS, DABR
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Gender | Male
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR MIAMI CANCER INSTITUTE
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 352-281-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 4914 NW 120TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3514
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Country | US
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Telephone | 352-281-7759
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | TRP485
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License Number State | FL
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