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General NPI Number Information
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NPI Number | 1104492867
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Entity Type | Individual
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Provider Name | KAYLEIGH GEISER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 10058 COOLEY RD
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City | BROOKVILLE
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State | IN
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Zip | 47012-9509
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Country | US
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Telephone | 765-647-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 79 W CENTRAL AVE
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City | CAMDEN
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State | OH
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Zip | 45311-1007
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Country | US
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Telephone | 937-452-1202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN.CNP.0028996
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71012566A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0028996
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License Number State | OH
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