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General NPI Number Information
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NPI Number | 1497939235
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Entity Type | Organization
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Legal Business Name | GEORGE R. CHERIAN, M.D., P.C.
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 803 W MAHONING ST
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-1309
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Country | US
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Telephone | 814-938-0123
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Fax | 814-938-2344
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Provider Business Mailing Address
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Address Line | 803 W MAHONING ST
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-1309
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Country | US
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Telephone | 814-938-0123
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Fax | 814-938-2344
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE R CHERIAN
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Credential | M.D. , P.C.
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Telephone | 814-938-0123
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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 | MD07172L
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License Number State | PA
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