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General NPI Number Information
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NPI Number | 1770587594
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Entity Type | Individual
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Provider Name | GEORGE M. CHARRON MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 1717 HARPER RD SECOND FLOOR SUITE A
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City | BECKLEY
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State | WV
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Zip | 25801-3373
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Country | US
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Telephone | 304-254-3022
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Fax | 304-256-4054
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7782
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Fax | 615-920-8775
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 38028
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 38028
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License Number State | NC
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