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General NPI Number Information
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NPI Number | 1760684039
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Entity Type | Organization
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Legal Business Name | GENESIS NATIONAL HEALTHCARE INC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 10811 BISSONNET ST #D4
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City | HOUSTON
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State | TX
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Zip | 77099-2151
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Country | US
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Telephone | 713-774-0004
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Fax | 713-774-0009
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Provider Business Mailing Address
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Address Line | 8323 SOUTHWEST FWY STE 505
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City | HOUSTON
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State | TX
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Zip | 77074-1625
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Country | US
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Telephone | 713-774-0004
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Fax | 713-933-0429
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MRS. VALENCIA BELL
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Credential | RN MS
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Telephone | 713-774-0004
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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 | 0091769
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License Number State | TX
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