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General NPI Number Information
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NPI Number | 1083874770
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Entity Type | Organization
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Legal Business Name | GEISINGER CLINIC
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 132 ABIGAIL LANE
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City | PORT MATILDA
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State | PA
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Zip | 16870
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Country | US
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Telephone | 814-272-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-3034
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Country | US
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Telephone | 570-271-5555
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR
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Name | CINDY L MULL
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Credential |
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Telephone | 570-271-6603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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