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General NPI Number Information
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NPI Number | 1932270105
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Entity Type | Individual
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Provider Name | GEORGE FERENCZI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 415 W ROUTE 66 SUITE 102
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City | GLENDORA
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State | CA
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Zip | 91740-4335
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Country | US
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Telephone | 626-914-1182
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 S SUNSET AVE SUITE 405
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City | WEST COVINA
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State | CA
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Zip | 91790-3937
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Country | US
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Telephone | 626-960-2326
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C35272
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License Number State | CA
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