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General NPI Number Information
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NPI Number | 1629545991
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Entity Type | Individual
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Provider Name | CRYSTAL GEYER
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 8225 DAIRY LN
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City | ATHENS
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State | OH
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Zip | 45701-9394
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Country | US
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Telephone | 503-901-4518
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55107
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-0107
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Country | US
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Telephone |
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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 |
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License Number State |
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