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General NPI Number Information
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NPI Number | 1841146875
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Entity Type | Organization
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Legal Business Name | GENESIS PERSONAL HEALTHCARE MEDICINE
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1927 DARLINGTON OAK DR
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City | CONROE
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State | TX
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Zip | 77304-7800
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Country | US
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Telephone | 718-569-8127
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Fax |
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Provider Business Mailing Address
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Address Line | 341 E 19TH ST APT 6C
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City | BROOKLYN
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State | NY
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Zip | 11226-5866
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Country | US
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Telephone | 718-569-8127
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. GRITZ PIERRE
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Credential | MD
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Telephone | 347-967-9262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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