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General NPI Number Information
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NPI Number | 1841381100
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Entity Type | Organization
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Legal Business Name | DARREN GEORGE DO PA
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 303 W PEARL ST
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City | GRANBURY
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State | TX
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Zip | 76048-2408
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Country | US
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Telephone | 817-573-2601
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Fax | 817-573-2073
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Provider Business Mailing Address
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Address Line | PO BOX 1689
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City | WEATHERFORD
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State | TX
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Zip | 76086-7689
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Country | US
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Telephone | 817-573-2601
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Fax | 817-573-2073
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DARREN GEORGE
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Credential | DO
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Telephone | 817-573-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J5768
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License Number State | TX
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