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General NPI Number Information
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NPI Number | 1407961758
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Entity Type | Individual
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Provider Name | MATHEW GEORGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 61 MARY ST
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City | TAPPAN
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State | NY
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Zip | 10983-1720
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Country | US
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Telephone | 718-963-8000
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Fax | 585-785-8234
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 655
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City | ROCHESTER
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State | NY
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Zip | 14642-8655
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Country | US
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Telephone | 585-375-9555
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Fax | 585-785-8234
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 238538
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 238538
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 238538
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License Number State | NY
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