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General NPI Number Information
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NPI Number | 1154469120
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Entity Type | Individual
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Provider Name | HILDEGARDE GEISSE MD
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 6400 N ANDREWS AVE SUITE 530
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2114
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Country | US
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Telephone | 844-636-3876
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Fax | 561-429-3630
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Provider Business Mailing Address
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Address Line | 6400 N ANDREWS AVE SUITE 530
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2114
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Country | US
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Telephone | 954-530-4344
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Fax | 561-429-3630
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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 | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | ME96190
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME96190
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | ME96190
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | ME96190
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License Number State | FL
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