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General NPI Number Information
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NPI Number | 1447515200
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Entity Type | Individual
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Provider Name | MATTHEW JOHN GEIGER
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Gender | Male
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 500 HANCOCK ST
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City | SAGINAW
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State | MI
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Zip | 48602-4224
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Country | US
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Telephone | 989-797-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 3090 ARBUTUS DR
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City | SAGINAW
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State | MI
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Zip | 48603-1904
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Country | US
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Telephone |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 6802071378
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License Number State | MI
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