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General NPI Number Information
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NPI Number | 1093521627
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Entity Type | Organization
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Legal Business Name | MIRIAM GEIGER PLLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 3112 N NORTH ST
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City | PEORIA
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State | IL
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Zip | 61604-1564
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Country | US
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Telephone | 510-684-9063
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 N NORTH ST
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City | PEORIA
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State | IL
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Zip | 61604-1564
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Country | US
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Telephone | 341-333-8484
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRIAM RUTH GEIGER
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Credential | LMFT, LPCC, LCPC
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Telephone | 341-333-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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