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General NPI Number Information
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NPI Number | 1841520269
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Entity Type | Organization
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Legal Business Name | GEORGE S HAGOPIAN MD PLLC
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 755 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1075
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Country | US
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Telephone | 914-366-3640
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 848
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-0848
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Country | US
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Telephone |
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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 HAGOPIAN
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Credential | MD
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Telephone | 914-366-3640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 209049
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License Number State | NY
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