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General NPI Number Information
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NPI Number | 1427351642
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Entity Type | Organization
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Legal Business Name | GENESIS CARE CENTERS, CORP.
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 8395 SW 187TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33157-7346
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Country | US
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Telephone | 305-255-1881
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Fax | 786-446-8716
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Provider Business Mailing Address
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Address Line | 2930 BRICKELL AVE
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City | MIAMI
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State | FL
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Zip | 33129-2814
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Country | US
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Telephone | 305-812-3487
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Fax | 786-446-8716
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. HENRY PARRA
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Credential |
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Telephone | 305-812-3487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11746
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License Number State | FL
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