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General NPI Number Information
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NPI Number | 1528199049
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Entity Type | Individual
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Provider Name | GORDON FRANCIS GEICK
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 50 NASHUA RD SUITE 104
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City | LONDONDERRY
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State | NH
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Zip | 03053-3400
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Country | US
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Telephone | 603-432-2961
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Fax |
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Provider Business Mailing Address
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Address Line | 50 NASHUA RD SUITE 104
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City | LONDONDERRY
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State | NH
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Zip | 03053-3400
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Country | US
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Telephone | 603-432-2961
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2068
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License Number State | NH
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