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General NPI Number Information
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NPI Number | 1033327739
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Entity Type | Organization
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Legal Business Name | ROSE GEISER
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7980 NEW LAGRANGE RD
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City | LOUISVILLE
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State | KY
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Zip | 40222-4767
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Country | US
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Telephone | 502-345-9587
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Fax | 502-254-9587
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Provider Business Mailing Address
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Address Line | 7980 NEW LAGRANGE RD
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City | LOUISVILLE
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State | KY
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Zip | 40222-4767
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Country | US
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Telephone | 502-345-9587
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Fax | 502-254-9587
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROSE M GEISER
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Credential | LMFT
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Telephone | 502-345-9587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0492
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License Number State | KY
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