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NPI 1922099449

NPI 1922099449 : BERT E GEER DO : COOKEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1922099449
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    Entity Type          |    Individual 
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    Provider Name        |    BERT E GEER DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/03/2005
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    Last Update Date     |    09/07/2016
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Provider Practice Location Address
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    Address Line         |    100 W 3RD ST 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-2495
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    Country              |    US
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    Telephone            |    931-528-9047
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    Fax                  |    931-372-0045
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Provider Business Mailing Address
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    Address Line         |    100 W 3RD ST 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-2495
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    Country              |    US
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    Telephone            |    931-528-9047
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    Fax                  |    931-372-0045
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    DO0000001010
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    DO0000001010
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    License Number State |    TN
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