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General NPI Number Information
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NPI Number | 1609151521
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Entity Type | Individual
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Provider Name | JOSEPH RICKY R GEORGE SR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 5004 W ESPLANADE AVE
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City | METAIRIE
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State | LA
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Zip | 70006-2551
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Country | US
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Telephone | 504-888-9000
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Fax | 504-888-7601
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Provider Business Mailing Address
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Address Line | 6936 W LAVERNE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70126-2509
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Country | US
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Telephone | 150-428-9716
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Fax | 150-424-3965
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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 | 14634
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License Number State | LA
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