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General NPI Number Information
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NPI Number | 1952542680
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Entity Type | Individual
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Provider Name | GEORG ELIAS M.D
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Gender | Male
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 24044 HIGHWAY 59 N
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City | KINGWOOD
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State | TX
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Zip | 77339-1500
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Country | US
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Telephone | 281-501-5652
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Fax | 800-718-5287
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Provider Business Mailing Address
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Address Line | PO BOX 87
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City | PORTER
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State | TX
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Zip | 77365-0087
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Country | US
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Telephone | 281-501-5652
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Fax | 800-718-5287
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LP01192
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036132738
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | Q8052
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License Number State | TX
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