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General NPI Number Information
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NPI Number | 1124907969
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Entity Type | Individual
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Provider Name | KRISTY GEITHMAN PPS SCHOOL COUNSELOR
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Gender | Female
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3125 SIR FRANCIS DRAKE BLVD
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City | FAIRFAX
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State | CA
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Zip | 94930-1353
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Country | US
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Telephone | 415-328-1020
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Fax |
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Provider Business Mailing Address
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Address Line | 170 LIBERTY SCHOOL RD
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City | PETALUMA
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State | CA
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Zip | 94952-1011
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Country | US
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Telephone | 415-328-1020
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 25007658
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License Number State | CA
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