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General NPI Number Information
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NPI Number | 1386072056
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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 | 10/16/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 3500 MEEKINS DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-4894
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Country | US
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Telephone | 570-786-1789
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 MEEKINS DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-4894
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Country | US
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Telephone | 570-786-1789
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FRANCES JONES
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Credential |
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Telephone | 866-203-4365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305208335
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License Number State | VA
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