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General NPI Number Information
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NPI Number | 1659809655
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Entity Type | Individual
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Provider Name | GEOFFREY ALAN FAUSTMAN MA, LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 1000 E 65TH ST N
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City | SIOUX FALLS
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State | SD
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Zip | 57104-0420
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Country | US
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Telephone | 56-796-9536
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E 65TH ST N
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City | SIOUX FALLS
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State | SD
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Zip | 57104-0420
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Country | US
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Telephone | 605-906-0309
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11525
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 96882
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License Number State | CA
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