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General NPI Number Information
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NPI Number | 1457522732
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Entity Type | Organization
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Legal Business Name | TIMOTHY L GEERLINGS MD PC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 200 TAFT ST
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City | ZEELAND
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State | MI
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Zip | 49464-1692
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Country | US
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Telephone | 616-772-6722
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Fax | 616-772-9299
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Provider Business Mailing Address
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Address Line | 200 S TAFT ST
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City | ZEELAND
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State | MI
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Zip | 49464-1692
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Country | US
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Telephone | 616-772-6722
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Fax | 616-772-9299
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY L GEERLINGS
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Credential | MD
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Telephone | 616-772-6722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4301037828
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License Number State | MI
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