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General NPI Number Information
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NPI Number | 1750707485
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Entity Type | Individual
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Provider Name | DIX GEIGER LPC
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Gender | Male
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 7204 WESTCHESTER
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2869
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Country | US
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Telephone | 248-770-8042
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Fax | 248-334-3109
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Provider Business Mailing Address
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Address Line | 7204 WESTCHESTER
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2869
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Country | US
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Telephone | 248-770-8042
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Fax | 248-334-3109
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401012872
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License Number State | MI
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