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General NPI Number Information
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NPI Number | 1265460166
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Entity Type | Individual
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Provider Name | MICHAEL THOMAS GEISER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 375 LAGUNA HONDA BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-1411
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Country | US
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Telephone | 415-206-6405
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Fax | 415-206-6918
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Provider Business Mailing Address
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Address Line | PO BOX 320756
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-0756
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Country | US
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Telephone | 415-206-6300
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Fax | 415-206-6918
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G35489
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License Number State | CA
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