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General NPI Number Information
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NPI Number | 1295661650
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Entity Type | Organization
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Legal Business Name | GENMEDCO LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 5011 GATE PKWY STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0830
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Country | US
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Telephone | 626-796-1051
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Fax | 626-796-7298
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Provider Business Mailing Address
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Address Line | 3948 3RD ST S STE 23
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-5847
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Country | US
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Telephone | 626-796-1051
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Fax | 626-796-7298
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. EMMA Y STEWART
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Credential |
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Telephone | 626-720-7456
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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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