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General NPI Number Information
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NPI Number | 1407425994
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Entity Type | Individual
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Provider Name | LORI GEESAMAN CNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 534 S BROADWAY ST
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City | GREENVILLE
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State | OH
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Zip | 45331-1927
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Country | US
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Telephone | 937-547-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 1083 WASHINGTON RD
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City | UNION CITY
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State | OH
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Zip | 45390-8633
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Country | US
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Telephone | 937-423-2571
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN.325579
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN.CNP.0029260
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License Number State | OH
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