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General NPI Number Information
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NPI Number | 1891088332
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Entity Type | Individual
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Provider Name | ANDREW GREGORY GEESLIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 181 W MEADOW DR SUITE 400
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City | VAIL
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State | CO
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Zip | 81657-5242
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Country | US
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Telephone | 970-476-1100
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Fax | 970-479-5835
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Provider Business Mailing Address
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Address Line | 181 W MEADOW DR SUITE 400
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City | VAIL
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State | CO
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Zip | 81657-5242
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Country | US
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Telephone | 970-476-1100
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Fax | 970-479-5835
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 56208
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 042-0015248
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301098466
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 042-0015248
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301098466
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License Number State | MI
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