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General NPI Number Information
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NPI Number | 1730264094
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Entity Type | Organization
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Legal Business Name | GEORGE E. ESHAM, M.D. INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1735 27TH ST STE 309
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2679
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Country | US
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Telephone | 740-354-7769
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Fax | 740-353-8978
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Provider Business Mailing Address
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Address Line | 1735 27TH ST STE 309
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2679
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Country | US
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Telephone | 740-354-7769
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Fax | 740-353-8978
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE E ESHAM
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Credential | M.D.
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Telephone | 740-354-7769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 47366
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License Number State | OH
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