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General NPI Number Information
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NPI Number | 1407299886
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Entity Type | Organization
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Legal Business Name | MICHAEL D. GEIS, MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 27 E. VICTORIA ST. SUITE: REAR COTTAGE
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City | SANTA BARBARA
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State | CA
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Zip | 93101
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Country | US
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Telephone | 805-962-8782
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Fax | 805-966-4279
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Provider Business Mailing Address
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Address Line | 27 E. VICTORIA ST. SUITE: REAR COTTAGE
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City | SANTA BARBARA
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State | CA
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Zip | 93101
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Country | US
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Telephone | 805-962-8782
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Fax | 805-966-4279
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. MICHAEL DEWEY GEIS
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Credential | M.D.
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Telephone | 805-962-8782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G25281
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G25281
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License Number State | CA
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