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General NPI Number Information
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NPI Number | 1316841208
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Entity Type | Individual
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Provider Name | RICHARD GENOVA BA, RVT, RPHS, NVS
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1300 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-4805
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Country | US
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Telephone | 212-746-5458
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Fax |
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Provider Business Mailing Address
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Address Line | 7522 37TH AVE # 33
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6538
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Country | US
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Telephone | 929-783-3444
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XC2903X
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Taxonomy Name | Vascular Specialist/Technologist Cardiovascular
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License Number |
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License Number State | NULL
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