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General NPI Number Information
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NPI Number | 1790188514
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Entity Type | Individual
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Provider Name | GEORGE ZISLIS
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Gender | Male
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 9422 ARLINGTON EXPY
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City | JACKSONVILLE
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State | FL
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Zip | 32225-8231
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Country | US
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Telephone | 904-559-1844
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Fax | 904-900-7707
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Provider Business Mailing Address
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Address Line | 9422 ARLINGTON EXPY
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City | JACKSONVILLE
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State | FL
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Zip | 32225-8231
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Country | US
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Telephone | 904-559-1844
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Fax | 904-900-7707
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PR384
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PR384
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License Number State | FL
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