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General NPI Number Information
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NPI Number | 1285688119
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Entity Type | Organization
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Legal Business Name | GENESIS HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 721 TAYLOR ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-2001
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Country | US
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Telephone | 740-453-0508
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Fax | 740-455-8846
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Provider Business Mailing Address
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Address Line | 133 N MAYSVILLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-6112
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Country | US
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Telephone | 740-454-5666
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Fax | 740-452-7563
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Authorized Official
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Title or Position | CSO
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Name | MICHAEL NORMAN
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Credential |
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Telephone | 740-454-4773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 02-431350
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License Number State | OH
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