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General NPI Number Information
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NPI Number | 1407863707
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Entity Type | Individual
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Provider Name | GEORGE M CIBIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 6300 POWERS FERRY RD NW STE 600-334
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City | ATLANTA
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State | GA
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Zip | 30339-2919
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Country | US
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Telephone | 770-862-0557
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Fax | 770-951-5641
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Provider Business Mailing Address
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Address Line | 6300 POWERS FERRY RD NW STE 600-334
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City | ATLANTA
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State | GA
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Zip | 30339-2919
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Country | US
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Telephone | 770-862-0557
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Fax | 770-951-5641
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 021487
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License Number State | GA
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