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General NPI Number Information
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NPI Number | 1346349784
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Entity Type | Individual
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Provider Name | ROBBIE WINDHAM GEISELMAN APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 4000 FABER PLACE DR STE 110
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-8585
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Country | US
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Telephone | 843-501-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 BUFORD HWY NE STE 100
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City | BROOKHAVEN
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State | GA
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Zip | 30329-2146
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Country | US
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Telephone | 678-820-7830
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 335193
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN288073
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 521
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License Number State | SC
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