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General NPI Number Information
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NPI Number | 1558295881
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Entity Type | Organization
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Legal Business Name | STEPHEN J. GEORGIOU MD A PROFESSIONAL CORP.
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 900 I ST
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City | LOS BANOS
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State | CA
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Zip | 93635-4313
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Country | US
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Telephone | 209-828-5580
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Fax | 209-828-5599
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | LOS BANOS
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State | CA
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Zip | 93635-0092
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Country | US
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Telephone | 209-828-5580
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Fax | 209-828-5599
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Authorized Official
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Title or Position | MD/ PRESIDENT
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Name | STEPHEN JOHN GEORGIOU
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Credential | MD
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Telephone | 209-617-0796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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