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General NPI Number Information
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NPI Number | 1619945755
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Entity Type | Individual
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Provider Name | DAVID S GEORGE MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 418 GRAND PARK DR SUITE 315
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City | PARKERSBURG
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State | WV
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Zip | 26105-4000
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Country | US
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Telephone | 304-428-3500
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Fax | 304-422-7900
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Provider Business Mailing Address
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Address Line | 418 GRAND PARK DR SUITE 315
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City | PARKERSBURG
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State | WV
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Zip | 26105-4000
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Country | US
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Telephone | 304-428-3500
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Fax | 304-422-7900
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35058948
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License Number State | OH
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