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General NPI Number Information
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NPI Number | 1225354327
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Entity Type | Organization
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Legal Business Name | GENESIS PARTNERS LLC
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2815 W WALNUT ST STE B
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City | ROGERS
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State | AR
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Zip | 72756-0319
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Country | US
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Telephone | 479-246-0140
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Fax | 479-246-0441
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Provider Business Mailing Address
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Address Line | 2815 W WALNUT ST STE B
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City | ROGERS
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State | AR
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Zip | 72756-0319
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Country | US
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Telephone | 479-246-0140
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Fax | 479-246-0441
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Authorized Official
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Title or Position | OWNER/CEO
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Name | HADEN GILDER
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Credential |
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Telephone | 501-413-8752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 179130765
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 177537752
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License Number State | AR
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