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General NPI Number Information
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NPI Number | 1801002746
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Entity Type | Individual
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Provider Name | EVE L. GEIDEL ANP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 2157 MAIN STREET DEPARTMENT OF SURGERY
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City | BUFFALO
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State | NY
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Zip | 14214
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Country | US
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Telephone | 716-862-1412
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Fax | 716-862-0252
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Provider Business Mailing Address
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Address Line | 2157 MAIN STREET DEPARTMENT OF SURGERY
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City | BUFFALO
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State | NY
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Zip | 14214
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Country | US
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Telephone | 716-862-1412
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Fax | 716-862-0252
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F300535-1
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License Number State | NY
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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 | 300535
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License Number State | NY
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