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General NPI Number Information
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NPI Number | 1760855399
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Entity Type | Organization
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Legal Business Name | GEISS MED DURABLE MEDICAL EQUIPMENT D.O. MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 1050 E YORBA LINDA BLVD STE.104
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City | PLACENTIA
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State | CA
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Zip | 92870-3730
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Country | US
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Telephone | 714-223-5920
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Fax | 866-550-4794
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Provider Business Mailing Address
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Address Line | 1050 E YORBA LINDA BLVD STE.104
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City | PLACENTIA
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State | CA
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Zip | 92870-3730
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Country | US
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Telephone | 714-223-5920
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Fax | 866-550-4794
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN MARK GEISS
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Credential | D.O.
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Telephone | 714-223-5920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | CA
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