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General NPI Number Information
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NPI Number | 1639470552
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL AND PSYCHIATRIC CONSULTANTS, LLC
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 23811 CHAGRIN BLVD SUITE 310
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City | BEACHWOOD
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State | OH
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Zip | 44122-5525
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Country | US
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Telephone | 216-464-1277
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Fax | 216-464-9109
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Provider Business Mailing Address
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Address Line | 23811 CHAGRIN BLVD SUITE 310
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City | BEACHWOOD
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State | OH
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Zip | 44122-5525
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Country | US
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Telephone | 216-464-1277
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Fax | 216-464-9109
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Authorized Official
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Title or Position | PSYCHIATRIST/OWNER
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Name | DR. PETER J GEIER
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Credential | M.D.
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Telephone | 216-464-1277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1971814
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License Number State | OH
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