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General NPI Number Information
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NPI Number | 1720976251
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Entity Type | Organization
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Legal Business Name | GENISCI LLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 50 CATOCTIN CIR NE STE 101-102
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City | LEESBURG
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State | VA
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Zip | 20176-3102
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Country | US
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Telephone | 571-556-2893
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Fax |
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Provider Business Mailing Address
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Address Line | 24850 HOGUE CREEK CT
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City | ALDIE
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State | VA
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Zip | 20105-5974
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Country | US
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Telephone | 920-562-4465
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Fax |
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Authorized Official
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Title or Position | CEO AND PRESIDENT
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Name | DR. REZAUL ABID
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Credential | PHD, MENG, FELLOW
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Telephone | 571-556-2892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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