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General NPI Number Information
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NPI Number | 1578613717
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Entity Type | Organization
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Legal Business Name | GEORGE A HOWARD, III MD
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 299 DOCTORS DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6321
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Country | US
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Telephone | 910-577-1171
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Fax | 910-577-5112
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Provider Business Mailing Address
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Address Line | 299 DOCTORS DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6321
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Country | US
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Telephone | 910-577-1171
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Fax | 910-577-5112
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Authorized Official
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Title or Position | RADIOLOGIST OWNER
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Name | DR. GEORGE ALBERT HOWARD III
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Credential | MEDICAL DOCTOR
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Telephone | 910-577-1171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 30044
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License Number State | NC
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