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General NPI Number Information
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NPI Number | 1114920964
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Entity Type | Individual
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Provider Name | STEVEN PATRICK GEIERMANN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5218 N WINTHROP AVE # 3N
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City | CHICAGO
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State | IL
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Zip | 60640-2306
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Country | US
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Telephone | 773-271-5871
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Fax | 312-886-3770
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Provider Business Mailing Address
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Address Line | 5218 N WINTHROP AVE # 3N
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City | CHICAGO
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State | IL
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Zip | 60640-2306
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Country | US
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Telephone | 773-271-5871
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Fax | 312-886-3770
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 2901013456
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License Number State | MI
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