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General NPI Number Information
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NPI Number | 1932156676
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Entity Type | Individual
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Provider Name | GEORGE GURDOCK DO
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Gender | Male
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 901 45TH ST
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City | MANGONIA PARK
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State | FL
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Zip | 33407-2413
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Country | US
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Telephone | 561-844-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 8982 WENDY LN W
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-6525
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Country | US
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Telephone | 561-351-0752
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Fax |
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | OS0009173
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS9173
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License Number State | FL
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