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General NPI Number Information
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NPI Number | 1497969117
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Entity Type | Individual
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Provider Name | SHEILA ROXANN GEORGE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 119 W 23RD ST 1000
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City | NEW YORK
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State | NY
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Zip | 10011-2427
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Country | US
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Telephone | 646-872-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 ARLINGTON AVE 7G
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City | BRONX
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State | NY
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Zip | 10471-1503
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Country | US
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Telephone | 646-872-9838
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 168285
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License Number State | NY
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