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General NPI Number Information
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NPI Number | 1447461066
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Entity Type | Organization
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Legal Business Name | GENESYS HEALTH ENTERPRISES
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 3909 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3602
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Country | US
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Telephone | 810-762-3662
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Fax |
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Provider Business Mailing Address
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Address Line | 3909 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3602
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Country | US
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Telephone | 810-762-3662
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY D BROTHERS
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Credential |
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Telephone | 810-762-3662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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