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General NPI Number Information
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NPI Number | 1467787473
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Entity Type | Organization
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Legal Business Name | GENESIS REHABILITATION CENTER INC.
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | CARR # 2 KM. 19.2 BARRIO CANDELARIA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-740-7100
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Fax | 787-251-7999
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Provider Business Mailing Address
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Address Line | CARR # 2 KM 19.2 BARRIO CANDELARIA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-740-7100
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Fax | 787-251-7999
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. MARIBEL ALVARADO
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Credential |
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Telephone | 787-740-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | N/A
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License Number State | PR
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