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General NPI Number Information
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NPI Number | 1437262904
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Entity Type | Individual
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Provider Name | GEORG STEINTHORSSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 COLCHESTER AVE MAIN PAVILION-LEVEL 5 VASCULAR
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-4548
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Fax | 802-847-3581
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Provider Business Mailing Address
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Address Line | 52 YACHT HAVEN DR
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City | SHELBURNE
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State | VT
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Zip | 05482-7773
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Country | US
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Telephone | 802-985-5069
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Fax | 802-847-3581
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 042-0010510
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License Number State | VT
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