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General NPI Number Information
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NPI Number | 1942550116
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Entity Type | Organization
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Legal Business Name | GEISINGER CLINIC
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 10990 STATE ROUTE 61
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City | MOUNT CARMEL
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State | PA
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Zip | 17851-2575
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Country | US
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Telephone | 570-339-4513
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Fax | 570-339-4680
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-271-5555
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CINDY MULL
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Credential |
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Telephone | 570-271-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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