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General NPI Number Information
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NPI Number | 1962534552
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Entity Type | Organization
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Legal Business Name | ST. GEORGE & CO, INC.
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Dates
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Enumeration Date | 03/10/2007
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 1776 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-4628
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Country | US
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Telephone | 717-845-6261
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Fax | 717-852-0630
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Provider Business Mailing Address
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Address Line | 1776 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-4628
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Country | US
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Telephone | 717-845-6261
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Fax | 717-852-0630
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROL LINDA ST. GEORGE
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Credential | D.O.
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Telephone | 717-845-6261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | OS004419L
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License Number State | PA
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