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General NPI Number Information
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NPI Number | 1619189834
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Entity Type | Individual
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Provider Name | SHERYL L GEISLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 675 HOES LN
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City | PISCATAWAY
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State | NJ
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Zip | 08854-5627
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Country | US
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Telephone | 732-235-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 202 GEORGES RD
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City | BRICK
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State | NJ
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Zip | 08724-7707
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Country | US
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Telephone | 732-458-7473
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | #25MP00029100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | #007500-1
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License Number State | NY
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