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General NPI Number Information
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NPI Number | 1720492010
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Entity Type | Individual
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Provider Name | GEORGE FRANCIS SLADE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 7572 PRESERVATION RD
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City | TALLAHASSEE
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State | FL
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Zip | 32312-6733
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Country | US
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Telephone | 850-294-3734
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Fax | 850-878-1509
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Provider Business Mailing Address
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Address Line | 1605 E PLAZA DR SUITE 103
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5362
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Country | US
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Telephone |
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | ME18518
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License Number State | FL
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