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General NPI Number Information
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NPI Number | 1477961985
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Entity Type | Individual
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Provider Name | CHERYL A. GELLER RDO
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Gender | Female
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 5600 POST RD BENNY'S PLAZA SUITE111
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3400
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Country | US
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Telephone | 401-885-2166
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Fax | 401-885-2201
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Provider Business Mailing Address
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Address Line | 5600 POST RD BENNY'S PLAZA SUITE111
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3400
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Country | US
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Telephone | 401-885-2166
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Fax | 401-885-2201
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 226
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License Number State | RI
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