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General NPI Number Information
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NPI Number | 1770416174
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Entity Type | Organization
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Legal Business Name | GENE-E MOBILE DIAGNOSTICS LLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 428 BELLA VIDA BLVD APT 2203
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City | ORLANDO
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State | FL
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Zip | 32828-6716
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Country | US
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Telephone | 321-532-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 CROSSTOWN WAY UNIT 2203
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City | ORLANDO
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State | FL
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Zip | 32807-8329
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Country | US
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Telephone | 321-532-2082
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHEENA EARLY
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Credential |
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Telephone | 630-200-1403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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