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General NPI Number Information
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NPI Number | 1417365693
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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 | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 211103 OLD RANCH CT
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City | SALINAS
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State | CA
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Zip | 93908
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Country | US
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Telephone | 831-682-0402
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Fax |
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Provider Business Mailing Address
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Address Line | 211103 OLD RANCH CT
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City | SALINAS
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State | CA
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Zip | 93908
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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 | SPEECH & LANGUAGE PATHOLOGIST
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Name | MARY ANN ROSE
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Credential | MSCCC
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Telephone | 831-682-0402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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