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General NPI Number Information
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NPI Number | 1831352566
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Entity Type | Organization
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Legal Business Name | GEORGE A CHARNOCK MD INC
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 27420 TOURNEY RD SUITE 120
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City | VALENCIA
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State | CA
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Zip | 91355-2077
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Country | US
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Telephone | 661-259-0361
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Fax |
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Provider Business Mailing Address
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Address Line | 27420 TOURNEY RD SUITE 120
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City | VALENCIA
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State | CA
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Zip | 91355-2077
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Country | US
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Telephone | 661-259-0361
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE CHARNOCK
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Credential | MD
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Telephone | 661-259-0361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | G34579
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License Number State | CA
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