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General NPI Number Information
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NPI Number | 1811185010
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Entity Type | Individual
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Provider Name | GEORGE PETER SURANYI DMD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 550 TOWN CREEK RD E STE 202
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City | KNOXVILLE
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State | TN
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Zip | 37772-6289
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Country | US
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Telephone | 865-988-3332
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Fax | 865-988-3343
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Provider Business Mailing Address
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Address Line | 550 TOWN CREEK RD E STE 202
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City | KNOXVILLE
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State | TN
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Zip | 37772-6289
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Country | US
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Telephone | 865-988-3332
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Fax | 865-988-3343
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS0000008722
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License Number State | TN
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