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General NPI Number Information
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NPI Number | 1932399243
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Entity Type | Individual
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Provider Name | AMALIA ANTIGONI GELLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 8601 W EMERALD ST STE 176 8601 W EMERALD ST STE 176
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City | BOISE
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State | ID
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Zip | 83704-8297
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Country | US
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Telephone | 208-793-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 8601 W EMERALD ST STE 176
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City | BOISE
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State | ID
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Zip | 83704-8297
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Country | US
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Telephone | 208-793-7006
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MC-1606
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | M5721
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 17114
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD61019445
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | MD61019445
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License Number State | WA
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