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General NPI Number Information
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NPI Number | 1780676262
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Entity Type | Individual
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Provider Name | KARLA KAY GIESE CFNP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 1221 SIXTH ST STE 208
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2360
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Country | US
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Telephone | 231-935-2045
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Fax | 231-935-3420
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Provider Business Mailing Address
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Address Line | 1221 SIXTH ST STE 208
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2360
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Country | US
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Telephone | 231-935-2045
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Fax | 231-935-3420
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | CNP01405
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704393100
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R61595
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 4704393100
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License Number State | MI
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