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General NPI Number Information
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NPI Number | 1174688287
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Entity Type | Organization
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Legal Business Name | GENERATION HEALTH & REHABILITATION
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 1450 W. MAIN STREET
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City | NEWARK
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State | OH
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Zip | 43055-3653
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Country | US
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Telephone | 740-348-1300
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Fax | 740-344-3091
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Provider Business Mailing Address
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Address Line | 1450 W. MAIN STREET
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City | NEWARK
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State | OH
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Zip | 43055-3653
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Country | US
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Telephone | 740-348-1300
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Fax | 740-344-3091
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Authorized Official
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Title or Position | CFO/OWNER
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Name | KAREN R KELLER
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Credential |
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Telephone | 740-348-1389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1489N
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License Number State | OH
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