{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GENESIS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "167 DARLING ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEWARK",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19702-3761",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-983-2138",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "167 DARLING ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEWARK",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19702-3761",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-983-2138",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/27/2011",
"LastUpdateDate": "04/27/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SALAZAR",
"AuthorizedOfficialFirstName": "EDINSON",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PHYSICAL THERAPY ASSISTANT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PTA",
"AuthorizedOfficialTelephoneNumber": "610-872-5373",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "TE0008861",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}