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General NPI Number Information
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NPI Number | 1720343957
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Entity Type | Individual
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Provider Name | MICHAEL DAVID GEORGE PHARM.D., BCPS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-873-4457
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Fax | 713-873-4455
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Provider Business Mailing Address
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Address Line | 1925 CALUMET ST
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City | HOUSTON
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State | TX
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Zip | 77004-7267
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Country | US
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Telephone | 713-807-1035
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Fax |
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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 | 47322
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License Number State | TX
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