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General NPI Number Information
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NPI Number | 1336696640
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Entity Type | Organization
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Legal Business Name | GENEVE HEALTHCARE CORP
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 2675 TREANOR TER
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City | WELLINGTON
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State | FL
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Zip | 33414-6460
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Country | US
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Telephone | 954-655-6596
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Fax | 561-333-7325
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Provider Business Mailing Address
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Address Line | 2675 TREANOR TER
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City | WELLINGTON
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State | FL
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Zip | 33414-6460
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Country | US
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Telephone | 954-655-6596
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Fax | 561-333-7325
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEAN-MARC GENEVE
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Credential | ARNP
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Telephone | 954-655-6596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | FL
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