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General NPI Number Information
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NPI Number | 1417463787
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Entity Type | Organization
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Legal Business Name | BILL GEIS, PH.D., LLC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 4700 BELLEVIEW AVE STE L12
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City | KANSAS CITY
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State | MO
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Zip | 64112-1363
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Country | US
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Telephone | 816-756-1227
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Fax | 816-756-1438
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Provider Business Mailing Address
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Address Line | 4700 BELLEVIEW AVE STE L12
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City | KANSAS CITY
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State | MO
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Zip | 64112-1363
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Country | US
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Telephone | 816-756-1227
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Fax | 816-756-1438
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Authorized Official
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Title or Position | OWNER, CLINICAL PSYCHOLOGIST
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Name | DR. BILL DEAN GEIS
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Credential | PH.D.
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Telephone | 816-756-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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