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General NPI Number Information
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NPI Number | 1467523688
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Entity Type | Organization
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Legal Business Name | JOHN P. A. GEORGE, M.D. CHARTERED
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 6323 GEORGIA AVE NW STE# 201
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City | WASHINGTON
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State | DC
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Zip | 20011-1101
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Country | US
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Telephone | 202-291-0039
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Fax | 202-829-4009
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Provider Business Mailing Address
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Address Line | 6323 GEORGIA AVE NW STE# 201
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City | WASHINGTON
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State | DC
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Zip | 20011-1101
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Country | US
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Telephone | 202-291-0039
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Fax | 202-829-4009
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Authorized Official
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Title or Position | MANAGER
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Name | JOHN P.A. GEORGE
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Credential | M.D
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Telephone | 202-291-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | DC5598
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License Number State | DC
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