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General NPI Number Information
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NPI Number | 1770879215
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Entity Type | Organization
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Legal Business Name | GEISINGER MEDICAL CENTER
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 120 HAMM DR
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City | LEWISBURG
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State | PA
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Zip | 17837-7496
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Country | US
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Telephone | 570-271-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-271-6211
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR ENROLLMENTS
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Name | CINDY L MULL
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Credential |
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Telephone | 570-271-6603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0008X
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Taxonomy Name | Pediatric Neurodevelopmental Disabilities Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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