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General NPI Number Information
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NPI Number | 1184070369
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Entity Type | Organization
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Legal Business Name | GENESIS REHAB SERVICES
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 473 DEMOTT LN
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City | SOMERSET
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State | NJ
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Zip | 08873-7700
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Country | US
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Telephone | 732-301-4438
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Fax |
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Provider Business Mailing Address
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Address Line | 76 MAIN ST APT G
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City | CHESTER
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State | NJ
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Zip | 07930-2551
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGIONAL RECRUITER
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Name | LYNDA SULLIVAN
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Credential |
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Telephone | 866-957-8910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 46TR00643200
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License Number State | NJ
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