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General NPI Number Information
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NPI Number | 1811985906
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Entity Type | Individual
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Provider Name | MR. GEORGE H DICKSON
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 5262 S STAPLES ST STE 235
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4116
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Country | US
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Telephone | 361-991-2423
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Fax | 361-991-3211
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Provider Business Mailing Address
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Address Line | 5262 S STAPLES ST STE 235
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4116
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Country | US
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Telephone | 361-991-2423
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Fax | 361-991-3211
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 50598
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License Number State | TX
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