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General NPI Number Information
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NPI Number | 1285571075
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Entity Type | Organization
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Legal Business Name | GENESIS HYPERBARIC WELLNESS LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 255 LEBANON RD SUITE 220
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City | FRISCO
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State | TX
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Zip | 75036
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Country | US
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Telephone | 214-619-5000
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Fax | 469-613-5181
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Provider Business Mailing Address
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Address Line | 255 LEBANON RD SUITE 220
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City | FRISCO
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State | TX
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Zip | 75036
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Country | US
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Telephone | 214-619-5000
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Fax | 469-613-5181
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CARLA TANELLA
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Credential |
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Telephone | 972-467-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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