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General NPI Number Information
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NPI Number | 1548745193
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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 | 09/29/2018
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Last Update Date | 09/29/2018
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Provider Practice Location Address
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Address Line | 518 OLD US 221 HWY
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City | RUTHERFORDTON
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State | NC
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Zip | 28139-8670
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Country | US
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Telephone | 828-748-0295
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 PINEY MT CH RD
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City | BOSTIC
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State | NC
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Zip | 28018-8546
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Country | US
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Telephone | 828-748-0295
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Fax |
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Authorized Official
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Title or Position | COTA
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Name | KELTCIE LYNN HOPPES
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Credential |
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Telephone | 828-748-0295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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