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General NPI Number Information
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NPI Number | 1588850556
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Entity Type | Organization
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Legal Business Name | GEEMSON OO M.D. PLLC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 3775 SENECA ST
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City | WEST SENECA
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State | NY
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Zip | 14224-3434
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Country | US
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Telephone | 716-712-0920
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Fax | 716-712-0922
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Provider Business Mailing Address
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Address Line | 3775 SENECA ST
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City | WEST SENECA
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State | NY
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Zip | 14224-3434
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Country | US
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Telephone | 716-712-0920
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Fax | 716-712-0922
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEEMSON OO
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Credential | M.D.
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Telephone | 716-712-0920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 226696
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License Number State | NY
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