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General NPI Number Information
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NPI Number | 1669506937
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Entity Type | Organization
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Legal Business Name | GREGORY A GEORGE MD, INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 62 STRAWBRIDGE AVE
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City | SHARON
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State | PA
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Zip | 16146-3234
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Country | US
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Telephone | 724-347-2955
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Fax | 724-347-4664
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Provider Business Mailing Address
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Address Line | 62 STRAWBRIDGE AVE
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City | SHARON
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State | PA
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Zip | 16146-3234
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Country | US
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Telephone | 724-347-2955
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Fax | 724-347-4664
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY A GEORGE
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Credential | MD
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Telephone | 724-347-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD039698L
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License Number State | PA
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