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General NPI Number Information
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NPI Number | 1578755849
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Entity Type | Organization
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Legal Business Name | GENESYS HEALTH ENTERPRISES INC
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 425 N FENWAY DR SUITE C
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City | FENTON
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State | MI
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Zip | 48430-3810
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Country | US
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Telephone | 810-750-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 425 N FENWAY DR SUITE C
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City | FENTON
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State | MI
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Zip | 48430-3810
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Country | US
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Telephone | 810-750-5450
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF COC
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Name | MR. ROBERT K STEVENS
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MI
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