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General NPI Number Information
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NPI Number | 1851575161
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Entity Type | Organization
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Legal Business Name | GEORGE ANTHONY FIGUEROA, M.D.
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 1201 5TH AVE N STE #300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1400
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Country | US
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Telephone | 727-895-4500
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Fax | 727-894-2037
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Provider Business Mailing Address
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Address Line | 1201 5TH AVE N STE # 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1400
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Country | US
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Telephone | 727-895-4500
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Fax | 727-894-2037
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE ANTHONY FIGUEROA
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Credential | MD
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Telephone | 727-895-4500
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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 | ME60819
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License Number State | FL
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