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General NPI Number Information
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NPI Number | 1689774895
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Entity Type | Individual
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Provider Name | KAROLYN KAY GEORGE DDS
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 10566 N HIGHWAY 191
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City | ELFRIDA
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State | AZ
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Zip | 85610-9021
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Country | US
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Telephone | 520-642-2222
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Fax | 520-642-3591
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Provider Business Mailing Address
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Address Line | 155 CALLE PORTAL SUITE 100
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2900
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Country | US
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Telephone | 520-459-3012
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Fax | 520-559-8663
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | WY1050
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D07772
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License Number State | AZ
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