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General NPI Number Information
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NPI Number | 1437131539
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Entity Type | Individual
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Provider Name | ROSINA M GENEROSE DPM
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 2 EAST BUTLER DRIVE SUITE 1
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City | DRUMS
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State | PA
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Zip | 18222-2602
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Country | US
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Telephone | 570-359-3515
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Fax | 570-459-5027
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Provider Business Mailing Address
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Address Line | 2 EAST BUTLER DRIVE SUITE 1
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City | DRUMS
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State | PA
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Zip | 18222-2602
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Country | US
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Telephone | 570-359-3515
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Fax | 570-459-5027
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC004297L
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License Number State | PA
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