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General NPI Number Information
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NPI Number | 1538857248
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Entity Type | Individual
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Provider Name | JEWEL ANN GEORGE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 101 W BUCKINGHAM RD
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City | GARLAND
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State | TX
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Zip | 75040-4646
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Country | US
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Telephone | 469-304-3427
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Fax |
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Provider Business Mailing Address
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Address Line | 500 LAVAINE LN
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City | LEWISVILLE
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State | TX
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Zip | 75056-4229
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Country | US
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Telephone | 469-323-8912
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 65223
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License Number State | TX
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