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General NPI Number Information
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NPI Number | 1508586983
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Entity Type | Individual
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Provider Name | CHAILA GENOVESE
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 13575 58TH ST N STE 200
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City | CLEARWATER
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State | FL
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Zip | 33760-3739
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Country | US
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Telephone | 844-742-7542
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 US HIGHWAY 19 STE 221
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City | HOLIDAY
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State | FL
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Zip | 34691-3918
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Country | US
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Telephone | 844-742-7542
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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