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NPI 1396598587

NPI 1396598587 : GEER NP IN FAMILY HEALTH PLLC : LE ROY, NY

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General NPI Number Information
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    NPI Number           |    1396598587
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEER NP IN FAMILY HEALTH PLLC 
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Dates
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    Enumeration Date     |    04/08/2024
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    Last Update Date     |    04/08/2024
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Provider Practice Location Address
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    Address Line         |    8745 LAKE STREET RD LOWR LEVEL 
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    City                 |    LE ROY
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    State                |    NY
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    Zip                  |    14482-9344
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    Country              |    US
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    Telephone            |    585-510-3050
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    Fax                  |    585-699-1624
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Provider Business Mailing Address
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    Address Line         |    PO BOX 339 
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    City                 |    CHURCHVILLE
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    State                |    NY
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    Zip                  |    14428-0339
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    Country              |    US
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    Telephone            |    585-404-1566
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    Fax                  |    585-699-1624
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRANDON  GEER 
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    Credential           |    FNP
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    Telephone            |    585-404-1566
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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       |    
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    License Number State |    
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