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General NPI Number Information
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NPI Number | 1184328874
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Entity Type | Organization
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Legal Business Name | GENMEDX
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 16521 RIVER RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-1638
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Country | US
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Telephone | 804-337-9820
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Fax |
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Provider Business Mailing Address
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Address Line | 16521 RIVER RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-1638
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Country | US
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Telephone | 804-337-9820
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | DR. CHRISTY WILLIAMSON
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Credential | DCN, CNS, MS, LDN
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Telephone | 804-337-9820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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