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General NPI Number Information
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NPI Number | 1497209886
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Entity Type | Individual
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Provider Name | CHRISTOPHER GORDON GEIS M.ED.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1400 SE 4TH ST
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City | MOORE
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State | OK
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Zip | 73160-7329
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Country | US
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Telephone | 405-418-6168
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Fax |
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Provider Business Mailing Address
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Address Line | 12205 CHESTERFIELD LN
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City | OKLAHOMA CITY
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State | OK
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Zip | 73173-7012
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Country | US
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Telephone | 405-824-2684
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Fax | 405-272-1596
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6196
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License Number State | OK
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