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General NPI Number Information
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NPI Number | 1700521267
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Entity Type | Individual
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Provider Name | ELIZABETH JEAN GEORGE MD
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Gender | Female
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 330 BORTHWICK AVE STE 101
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4102
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Country | US
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Telephone | 603-436-7171
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Fax | 603-433-5931
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Provider Business Mailing Address
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Address Line | 330 BORTHWICK AVE STE 101
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4102
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Country | US
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Telephone | 603-436-7171
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Fax | 603-433-5931
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34730
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License Number State | NH
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