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General NPI Number Information
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NPI Number | 1336381417
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Entity Type | Organization
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Legal Business Name | GENESIS WORLD EVANGELISM INC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 7237 DAVENPORT LN
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City | SPRING HILL
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State | FL
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Zip | 34606-6348
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Country | US
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Telephone | 352-293-3620
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Fax |
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Provider Business Mailing Address
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Address Line | 4627 LAKE IN THE WOODS DR
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City | SPRING HILL
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State | FL
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Zip | 34607-2319
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Country | US
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Telephone | 352-293-3620
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ERNA HARRIGAN
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Credential |
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Telephone | 352-293-3620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | FL
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