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General NPI Number Information
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NPI Number | 1235313834
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Entity Type | Individual
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Provider Name | HELENE M GENSHEIMER APN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 1605 W FRANK AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3103
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Country | US
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Telephone | 936-634-9233
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Fax | 906-634-9353
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Provider Business Mailing Address
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Address Line | PO BOX 429 175 VOLUNTEER PARKWAY
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City | CLINTON
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State | AR
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Zip | 72031-0429
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Country | US
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Telephone | 501-745-3033
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Fax | 501-745-8099
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 593160
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A01602
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License Number State | AR
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