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General NPI Number Information
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NPI Number | 1265448096
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Entity Type | Organization
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Legal Business Name | GENIS WOMENS CARE P.C.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1005 COMMERCIAL LN STE 230
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City | SUFFOLK
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State | VA
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Zip | 23434-8149
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Country | US
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Telephone | 757-923-4500
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Fax | 757-923-4607
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Provider Business Mailing Address
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Address Line | 1005 COMMERCIAL LN STE 230
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City | SUFFOLK
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State | VA
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Zip | 23434-8149
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Country | US
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Telephone | 757-923-4500
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Fax | 757-923-4607
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA CAROL FEDEI
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Credential | MD
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Telephone | 757-923-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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