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General NPI Number Information
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NPI Number | 1053417014
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Entity Type | Organization
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Legal Business Name | GENESEE VALLEY PODIATRY LLP
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 500 W WHITNEY ROAD
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City | ROCHESTER
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State | NY
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Zip | 14621-3064
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Country | US
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Telephone | 585-266-9140
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Fax | 585-266-2223
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Provider Business Mailing Address
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Address Line | 908 NIAGARA FALLS BLVD STE 208
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City | N TONAWANDA
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State | NY
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Zip | 14120-2019
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Country | US
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Telephone | 716-692-3302
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Fax | 716-692-4342
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Authorized Official
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Title or Position | PARTNER
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Name | RICHARD J GENSHEIMER
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Credential | DPM
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Telephone | 585-586-6100
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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 |
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License Number State |
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