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General NPI Number Information
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NPI Number | 1770667651
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Entity Type | Individual
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Provider Name | GEORGE B SMALLFIELD III MD, MS
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 863 GLENROCK RD
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City | NORFOLK
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State | VA
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Zip | 23502-3701
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Country | US
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Telephone | 757-252-2900
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Fax | 757-252-3235
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Provider Business Mailing Address
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Address Line | 863 GLENROCK RD
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City | NORFOLK
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State | VA
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Zip | 23502-3701
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Country | US
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Telephone | 757-252-2900
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Fax | 757-252-3235
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101252208
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 26542
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101252208
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License Number State | VA
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