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General NPI Number Information
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NPI Number | 1811361918
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Entity Type | Organization
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Legal Business Name | DR CHRISTOPHER P GEORGE AND ASSOCIATES LLC
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 11/30/2015
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Provider Practice Location Address
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Address Line | 1069 LEXINGTON AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-2265
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Country | US
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Telephone | 419-756-9111
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Fax | 419-756-0191
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Provider Business Mailing Address
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Address Line | 1069 LEXINGTON AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-2265
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Country | US
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Telephone | 419-756-9111
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Fax | 419-756-0191
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. CHRISTOPHER PAUL GEORGE
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Credential | D.P.M.
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Telephone | 419-756-9111
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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 |
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License Number State |
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