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General NPI Number Information
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NPI Number | 1821268319
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Entity Type | Individual
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Provider Name | BINU J GEORGE MD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 3872 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-3366
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Country | US
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Telephone | 770-949-5535
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Fax | 770-949-9022
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Provider Business Mailing Address
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Address Line | 3872 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-3366
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Country | US
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Telephone | 770-949-5535
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Fax | 770-949-9022
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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 | 059921
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 059921
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 059921
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License Number State | GA
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