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General NPI Number Information
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NPI Number | 1740169663
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Entity Type | Organization
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Legal Business Name | GENESIS HEALTH GROUP, LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 105 RAIDER BLVD STE 100
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1528
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Country | US
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Telephone | 561-699-9267
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Fax |
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Provider Business Mailing Address
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Address Line | 105 RAIDER BLVD STE 100
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1528
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Country | US
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Telephone | 201-401-4145
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUSTIN SILVERMAN
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Credential |
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Telephone | 201-401-4145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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