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General NPI Number Information
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NPI Number | 1720414683
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Entity Type | Organization
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Legal Business Name | GEORGE E METZ III DDS, PA
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 25 FM 3351 S
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City | BOERNE
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State | TX
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Zip | 78006-5710
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Country | US
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Telephone | 830-229-5581
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Fax | 830-336-3381
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Provider Business Mailing Address
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Address Line | 25 FM 3351 S
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City | BOERNE
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State | TX
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Zip | 78006-5710
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Country | US
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Telephone | 830-229-5581
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Fax | 830-336-3381
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GEORGE E METZ III
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Credential | DDS, PA
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Telephone | 830-229-5581
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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 | 23992
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License Number State | TX
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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 | 19167
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License Number State | TX
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