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General NPI Number Information
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NPI Number | 1508394289
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Entity Type | Individual
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Provider Name | DANIEL LOUIS GEISLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 2775 MOSSIDE BLVD
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City | MONROEVILLE
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State | PA
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Zip | 15146-2760
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Country | US
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Telephone | 215-983-6736
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 MOSSIDE BLVD RM 307D
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City | MONROEVILLE
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State | PA
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Zip | 15146-2760
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT213194
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD472276
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License Number State | PA
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