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General NPI Number Information
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NPI Number | 1073696613
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Entity Type | Organization
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Legal Business Name | PATRICIA H GEIGER
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 810 ELM ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28303
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Country | US
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Telephone | 910-484-2250
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Fax | 910-321-0359
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Provider Business Mailing Address
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Address Line | 810 ELM ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28303
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Country | US
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Telephone | 910-484-2250
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Fax | 910-321-0359
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PATRICIA H GEIGER
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Credential | RN
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Telephone | 910-484-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 0276
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License Number State | NC
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