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General NPI Number Information
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NPI Number | 1578363701
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Entity Type | Organization
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Legal Business Name | GENERATIONS R.C., INC.
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 100 MARSHALL ST N STE 2
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City | BENWOOD
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State | WV
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Zip | 26031-1041
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Country | US
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Telephone | 304-757-2500
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Fax | 304-757-2586
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Provider Business Mailing Address
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Address Line | PO BOX 219
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City | MILTON
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State | WV
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Zip | 25541-0219
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Country | US
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Telephone | 681-233-0753
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Fax | 304-208-8925
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Authorized Official
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Title or Position | CREDENTAILING AGENT
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Name | TERRY MUNDELL
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Credential |
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Telephone | 681-233-0753
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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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