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General NPI Number Information
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NPI Number | 1447561519
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Entity Type | Organization
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Legal Business Name | GENESIS ELDERCARE REHABILITATION SERVICES
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 120 SEMINARY AVE
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City | AUBURNDALE
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State | MA
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Zip | 02466-2650
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Country | US
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Telephone | 617-663-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E STATE ST
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-3109
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Country | US
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Telephone | 610-444-6350
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL A HIRSCHFELD
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Credential |
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Telephone | 610-925-4025
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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 |
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License Number State |
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