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General NPI Number Information
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NPI Number | 1508804238
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Entity Type | Individual
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Provider Name | ADAM SHAKER GEYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 30-32 ERICSSON PLACE
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City | NEW YORK
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State | NY
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Zip | 10013-6301
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Country | US
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Telephone | 212-374-9750
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Fax | 212-374-9705
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Provider Business Mailing Address
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Address Line | 505 GREENWICH ST 12B
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City | NEW YORK
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State | NY
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Zip | 10013-1380
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Country | US
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Telephone | 917-733-1625
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 223986
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License Number State | NY
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