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General NPI Number Information
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NPI Number | 1871346676
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Entity Type | Organization
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Legal Business Name | GENESIS WOMEN'S HEALTH & MIDWIFERY CENTER LLC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2788 BAYARD ST STE 100
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City | ATLANTA
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State | GA
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Zip | 30344-3440
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Country | US
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Telephone | 404-218-9496
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Fax | 404-748-4942
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Provider Business Mailing Address
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Address Line | 2788 BAYARD ST STE 100
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City | EAST POINT
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State | GA
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Zip | 30344-3440
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Country | US
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Telephone | 404-291-8028
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Fax |
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Authorized Official
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Title or Position | CERTIFIED NURSE MIDWIFE
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Name | MRS. LYNETTE L ALLEN-PYE
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Credential | CNM, MA-HSC, MACE
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Telephone | 404-218-9496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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