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General NPI Number Information
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NPI Number | 1598881823
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Entity Type | Organization
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Legal Business Name | GEORGE PUEBLITZ M.D.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 891 MENOHER BLVD
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City | JOHNSTOWN
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State | PA
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Zip | 15905-2839
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Country | US
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Telephone | 814-539-3119
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Fax | 814-539-4137
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Provider Business Mailing Address
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Address Line | 891 MENOHER BLVD
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City | JOHNSTOWN
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State | PA
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Zip | 15905-2839
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Country | US
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Telephone | 814-539-3119
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Fax | 814-539-4137
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Authorized Official
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Title or Position | PHYSICIAN
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Name | GEORGE PUEBLITZ
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Credential | M.D.
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Telephone | 814-539-3119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD028921-E
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License Number State | PA
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