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General NPI Number Information
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NPI Number | 1952579609
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Entity Type | Organization
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Legal Business Name | JOSEPH GEFFEN PHD PC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 5363 E PIMA ST 100
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City | TUCSON
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State | AZ
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Zip | 85712-3671
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Country | US
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Telephone | 520-292-4179
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Fax | 520-885-1580
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Provider Business Mailing Address
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Address Line | 5363 E PIMA ST 100
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City | TUCSON
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State | AZ
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Zip | 85712-3671
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Country | US
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Telephone | 520-292-4179
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Fax | 520-885-1580
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH GEFFEN
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Credential | PHD
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Telephone | 520-292-4179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1005
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License Number State | AZ
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