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General NPI Number Information
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NPI Number | 1538380100
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Entity Type | Individual
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Provider Name | GEORGE NICHOLAS MITCHELS D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 350 TRIANGLE ROAD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 908-874-6777
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Fax | 908-874-5685
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Provider Business Mailing Address
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Address Line | P.O. BOX 614
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City | BELLE MEAD
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State | NJ
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Zip | 08502-0614
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Country | US
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Telephone | 908-874-6777
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Fax | 908-874-5685
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10515
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License Number State | NJ
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