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General NPI Number Information
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NPI Number | 1841206281
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Entity Type | Organization
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Legal Business Name | GENESYS PRACTICE PARTNERS, INC.
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 8435 HOLLY RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-1812
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Country | US
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Telephone | 810-424-2400
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Fax | 810-579-7222
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Provider Business Mailing Address
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Address Line | 8435 HOLLY RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-1812
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Country | US
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Telephone | 810-424-2400
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Fax | 810-579-7222
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Authorized Official
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Title or Position | PHYSICIAN SERVICES
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Name | JOANNE HERMAN
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Credential | RN
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Telephone | 810-606-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health 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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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