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General NPI Number Information
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NPI Number | 1043266075
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Entity Type | Organization
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Legal Business Name | VICTORIA A GENSEMER D.P.M., P.A.
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 5210 LINTON BLVD SUITE 305
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6542
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Country | US
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Telephone | 561-498-9888
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Fax | 561-498-7626
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Provider Business Mailing Address
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Address Line | 5210 LINTON BLVD SUITE 305
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6542
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Country | US
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Telephone | 561-498-9888
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Fax | 561-498-7626
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTORIA A GENSEMER
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Credential | D.P.M.
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Telephone | 561-498-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3138
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License Number State | FL
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