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General NPI Number Information
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NPI Number | 1629270012
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Entity Type | Individual
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Provider Name | SADIE LYNN GEIGER MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 125 BYRD AVE VALLHAVEN CARE CENTER
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City | NEENAH
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State | WI
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Zip | 54956
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Country | US
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Telephone | 920-725-7869
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 W LINDBERGH ST
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City | APPLETON
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State | WI
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Zip | 54914-2334
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Country | US
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Telephone | 920-901-5101
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2506154
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License Number State | WI
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