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General NPI Number Information
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NPI Number | 1962140137
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Entity Type | Organization
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Legal Business Name | GENESEE HEALTH SYSTEM
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1402 S SAGINAW ST
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City | FLINT
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State | MI
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Zip | 48503-3705
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Country | US
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Telephone | 810-496-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 725 MASON ST
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City | FLINT
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State | MI
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Zip | 48503-2421
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Country | US
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Telephone | 810-496-5777
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEAN TROOP
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Credential |
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Telephone | 810-247-3496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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