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General NPI Number Information
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NPI Number | 1629292321
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Entity Type | Individual
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Provider Name | PAUL SALVATORE GEERLING M.S., L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 500 MEDICAL DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-3421
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Country | US
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Telephone | 636-327-1164
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Fax |
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Provider Business Mailing Address
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Address Line | 6 LAKEMONT DR
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City | SAINT CHARLES
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State | MO
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Zip | 63304-7912
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Country | US
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Telephone | 636-441-2545
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 002451
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License Number State | MO
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