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General NPI Number Information
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NPI Number | 1255973178
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Entity Type | Organization
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Legal Business Name | GENEUS DIAGNOSTICS
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 16120 COLLEGE OAK STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4044
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Country | US
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Telephone | 210-238-7185
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Fax |
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Provider Business Mailing Address
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Address Line | 16120 COLLEGE OAK STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4044
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Country | US
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Telephone | 210-238-7185
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ERIN GALLAGHER
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Credential |
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Telephone | 210-238-7185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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