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General NPI Number Information
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NPI Number | 1750391819
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Entity Type | Individual
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Provider Name | GEORGE TUTTLE III MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 8235 S US HIGHWAY 1
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-2848
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Country | US
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Telephone | 561-601-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 SAXON DR
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City | NASHVILLE
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State | TN
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Zip | 37215-4410
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Country | US
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Telephone | 805-377-1559
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Fax | 772-335-7202
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 92702
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License Number State | FL
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