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General NPI Number Information
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NPI Number | 1881718203
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Entity Type | Individual
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Provider Name | SUSAN GEISLER LPTA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 305 VALLEY DR
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City | HELENA
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State | AR
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Zip | 72342-1505
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Country | US
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Telephone | 870-338-4425
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Fax | 870-338-4434
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Provider Business Mailing Address
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Address Line | PO BOX 623
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City | DEVALLS BLUFF
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State | AR
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Zip | 72041-0623
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Country | US
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Telephone | 501-351-6287
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Fax | 870-998-1221
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA 1508
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License Number State | AR
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