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General NPI Number Information
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NPI Number | 1437488814
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Entity Type | Organization
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Legal Business Name | GEORGE L GETTY JR MD., PC
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 214 NE OUTLOOK AVE
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City | GRANTS PASS
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State | OR
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Zip | 97526-1412
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Country | US
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Telephone | 541-474-1854
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Fax | 541-474-1880
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Provider Business Mailing Address
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Address Line | 214 NE OUTLOOK AVE
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City | GRANTS PASS
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State | OR
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Zip | 97526-1412
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Country | US
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Telephone | 541-474-1854
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Fax | 541-474-1880
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE LUCIAN GETTY JR.
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Credential | MD
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Telephone | 541-474-1854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD13804
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License Number State | OR
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