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General NPI Number Information
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NPI Number | 1639216211
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Entity Type | Individual
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Provider Name | GUSTAVEOUS LAWRENCE GEIGER D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17971 BISCAYNE BLVD SUITE 103
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City | AVENTURA
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State | FL
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Zip | 33160-2578
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Country | US
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Telephone | 305-937-6322
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Fax | 305-937-6358
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Provider Business Mailing Address
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Address Line | 7001 W 35TH AVE #250
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City | HIALEAH
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State | FL
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Zip | 33018-7114
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Country | US
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Telephone | 305-937-6322
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Fax | 305-934-6358
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH7350
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License Number State | FL
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