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General NPI Number Information
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NPI Number | 1699208439
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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 | 04/08/2017
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Last Update Date | 04/08/2017
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Provider Practice Location Address
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Address Line | 689 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2511
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Country | US
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Telephone | 908-907-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 4 WHITMAN RD
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAIST
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Name | KIRSTEN ANN ALFANO
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Credential | OTR/L
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Telephone | 908-907-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 46TR00735400
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License Number State | NJ
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