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General NPI Number Information
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NPI Number | 1245113661
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Entity Type | Organization
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Legal Business Name | GENHEALTH INC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 520 LEWIS ST NW
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City | VIENNA
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State | VA
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Zip | 22180-4104
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Country | US
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Telephone | 346-678-4460
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Fax | 617-603-0777
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Provider Business Mailing Address
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Address Line | 520 LEWIS ST NW
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City | VIENNA
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State | VA
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Zip | 22180-4104
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Country | US
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Telephone | 346-678-4460
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Fax | 617-603-0777
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Authorized Official
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Title or Position | CTO
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Name | ERIC MARRIOTT
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Credential |
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Telephone | 346-678-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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