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General NPI Number Information
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NPI Number | 1437244795
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Entity Type | Individual
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Provider Name | GEORGE L. TALBOT JR. MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 1279 S KIHEI RD STE 120
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City | KIHEI
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State | HI
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Zip | 96753-5222
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Country | US
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Telephone | 808-891-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1279 S KIHEI RD STE 120
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City | KIHEI
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State | HI
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Zip | 96753-5222
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Country | US
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Telephone | 808-891-6800
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD-8766
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-8766
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License Number State | HI
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